Access Coordinator

Access Coordinator Essentia Health - 3.3 Duluth, MN Job Details Full-time $19.61 - $29.22 an hour 1 day ago Benefits Disability insurance Health insurance Dental insurance 401(k) Tuition reimbursement Vision insurance Qualifications Collaborate with healthcare professionals Medical documentation Overseeing health insurance pre-certification Electronic health records (EHR) management Medical insurance coverage verification Patient demographics Medical scheduling Healthcare referral management Patient care Cost estimate preparation Cost estimates Medical claims submission Filing patient billing claims Patient interaction Health insurance referral requirements 1 year Claims documentation management Patient registration Managing patient records Medical terminology Entry level Documentation reviews

Full Job Description 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.

Education Qualifications:

Key Responsibilities:

Prepares and submits payer-specific prior authorizations and referrals in alignment with relevant guidelines and medical policy criteria Accurately identifies required insurance verification and medical documentation in accordance with payer policy Collaborates with clinicians and medical practitioners to obtain all necessary information for successful authorization approval Thoroughly documents all interactions and actions related to insurance processes within the electronic Medical Record (EMR) system Regularly reviews and monitors assigned work queues, identifying, and focusing on accounts with the highest financial reimbursement risk Adapts to urgent clinical needs while maintaining high-quality work outputs within specified timelines Communicates with patients as needed to facilitate medical clearance Develops pre-service estimates and supports pre-service collections Supports the review of prior authorization requests that do not initially meet criteria and works collaboratively with relevant stakeholders to resolve issues or coordinate necessary clinician-to-health plan interventions

Required Qualifications:

1 year of relatable healthcare experience

Preferred Qualifications:

Healthcare experience within patient care, registration, scheduling, pre-certifications/prior authorizations, collections, and medical terminology Employee Benefits at

Essentia Health:

At Essentia Health, we're committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000.

Job Location:

Business Service Center Shift Rotation:

Day Rotation (United States of America)

Shift Start/End:

8:00/4:30

Hours Per Pay Period:

80

Compensation Range:

$19.61 - $29.22 / hour

Union:

DC USWA Main & Neighborhoods (DCUMN)

FTE:

1

Weekends:

NO Call Obligations:

Yes