Access Coordinator (Remote)

St Josephs Medical Center

1007190 PRE-SERVICE AUTHORIZATION - EH SS

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.

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.

1

Remote

Day Rotation (United States of America)

No

No