Building Location:Business Service Center
Department:47190 Pre-Service Authorization
Job Description:The Access Coordinator gathers necessary insurance information and uses expertise to translate the information provided by the patient/guarantor into the computer system, resulting in accurate claim submissions.
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.
Education Qualifications:
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.
Pre-Service Authorizations Coordinator only (47190): Graduate of LPN, Medical Secretary, Health Unit Coordinator, Medical Assistant, Paramedic, EMT, Pharmacy Tech, General Associate Degree program or similar.
Licensure/Certification Qualifications:
none
FTE:1
Possible Remote/Hybrid Option:
RemoteShift Rotation:Day Rotation (United States of America)
Shift Start Time:Days
Shift End Time:Days
Weekends:
Holidays:No
Call Obligation:No
Union:DC USWA Main & Neighborhoods (DCUMN)Union Posting Deadline:08/26/2024 11pm
What We Do
Essentia Health is an integrated health system serving patients in Minnesota, Wisconsin, and North Dakota.
Headquartered in Duluth, Minnesota, Essentia Health combines the strengths and talents of more than 15,000 employees, including more than 2,200 physicians and advanced practitioners, who serve our patients and communities through the mission of being called to make a healthy difference in people’s lives.
Essentia Health, which includes many Catholic facilities, is guided by the values of Quality, Hospitality, Respect, Joy, Justice, Stewardship, and Teamwork. The organization lives out its mission by having a patient-centered focus at 14 hospitals, 78 clinics, six long-term care facilities, six assisted living and independent living facilities, six ambulance services, 24 retail pharmacies, and one research institute
