
Access Coordinator
Required skills
- prior authorizations
- referrals
- insurance verification
- medical documentation
- EMR
- financial reimbursement
- pre-service estimates
- pre-service collections
Nice to have
- patient care
- registration
- scheduling
- medical terminology
Role summary
The Access Coordinator is responsible for gathering insurance information and accurately entering it into the computer system for claim submissions. Key duties include preparing prior authorizations and referrals, verifying insurance and medical documentation, collaborating with clinicians, documenting interactions in the EMR, managing work queues for financial risk, and communicating with patients. The role also involves developing pre-service estimates and supporting pre-service collections, adapting to urgent clinical needs while maintaining quality and timelines.
Building Location:
Business Service CenterDepartment:
1007190 PRE-SERVICE AUTHORIZATION - EH SSJob 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
Licensure/Certification Qualifications:
FTE:
1Possible Remote/Hybrid Option:
RemoteShift Rotation:
Day Rotation (United States of America)Shift Start Time:
8:00amShift End Time:
4:30pmWeekends:
NOHolidays:
NoCall Obligation:
NoUnion:
DC USWA Main & Neighborhoods (DCUMN)Union Posting Deadline:
08/31/2026Compensation Range:
$17.63 - $26.45Employee 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.Similar roles
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