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. 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:**
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 succ...
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. 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:**
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 succ...