Insurance Verification and Authorization Access Coordinator (Remote)
As a n insurance verification and authorization access coordinator, you will be responsible for independently managing all work related to medical necessity-based authorizations for all scheduled surgeries, Outpatients, and inpatients, as well as elective and direct medical admissions. Able to determine a patient's eligibility and identify specific insurance benefits for all Scheduled Surgeries, Outpatient and Inpatient, and Elective, Emergent, and Direct medical admissions. Possess a strong knowledge of Insurance payors while demonstrating a solid understanding of payer coverage policies and applying appropriate payer criteria and guidelines.
The coordinator will leverage their medical terminology and physiology understanding to retrieve the appropriate clinical documents (e.g., progress notes, lab values, scan results) from the electronic medical record (EMR). The Access Coordinator will complete specific forms and enter required information via payor portals to secure prior authorization, reduce penalties, and achieve maximum reimbursement.
About Us
About the Team