Access Coordinator (Remote)

Job Description:

Gather necessary insurance information, use expertise to translate the information provided by the patient/guarantor into the computer system with the result of an accurate claim submission. May be responsible for some or all of the following: insurance verification, ICD 10 or HCPC code selection, prior authorization, pre-certification, medical necessity determination, referrals, workers compensation authorization, service estimates, patient communication when services are not covered, pre-service collections. Work Experience: • Pre-Service Authorizations Coordinator (47190): 1-year experience in a healthcare or health plan setting, ability to work in high volume/fast-paced environment, referral and authorization knowledge or meets educational requirements listed below. • Pre-Service DME Coordinator (47860): 1-year DME experience or meet educational requirements listed below. • Pre-Service Financial Coordinator (46180): 1-year collections experience, experience with pre-service or financial counseling or meets educational requirements listed below.• Population Health Authorization Coordinator (46090): 1-year experience in a healthcare or health plan setting, ability to work in high volume/fast-paced environment, referral and authorization knowledge or meets educational requirements listed below.