Access Coordinator

**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...