Building Location:32nd Avenue Building

Department:1007190 PRE-SERVICE AUTHORIZATION - EH SS

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. Our staff members will be able to take PTO and ensure that there is proper coverage within their teams to help when volumes are high.

Education Qualifications:

Key Responsibilities:

Prepares and submits payer-specific prior authorizations and referrals in alignment with relevant guidelines and medical policy criteriaAccurately identifies required insurance verification and medical documentation in accordance with payer policyCollaborates with clinicians and medical practitioners to obtain all necessary information for successful authorization approvalThoroughly documents all interactions and actions related to insurance processes within the electronic Medical Record (EMR) systemRegularly reviews and monitors assigned work queues, identifying, and focusing on accounts with the highest financial reimbursement riskAdapts to urgent clinical needs while maintaining high-quality work outputs within specified timelinesCommunicates with patients as needed to facilitate medical clearanceDevelops pre-service estimates and supports pre-service collectionsSupports 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:

We need someone who has prior authorization experience.

FTE:0

Possible Remote/Hybrid Option:

Remote

Shift Rotation:Day Rotation (United States of America)

Shift Start Time:

Shift End Time:

Weekends:

Holidays:No

Call Obligation:No

Union:

Union Posting Deadline:

Compensation Range:

$17.45 - $26.18

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.