Lead Access Coordinator, Utilization Review, Part Time, Days

UC Health is hiring a Part-Time Lead Access Coordinator within the Utilization Review department for the First Shift  that is Remote within the Greater Cincinnati area. 

The Lead Access Coordinator supports verification of insurance coverage utilization different on-line modalities for clinic patients receiving diagnostic testing (i.e. CT, MRI, etc.),along with chemotherapy and radiation therapy and/or surgical procedures. The associate is responsible for obtaining prior authorization requests and/or pre-determination for these services to ensure maximum reimbursement to the organization.

About University of Cincinnati Medical Center

As part of the Clifton Campus of UC Health, Greater Cincinnati’s academic health system, University of Cincinnati Medical Center has served Greater Cincinnati and Northern Kentucky for nearly 200 years. Each year, hundreds of thousands of patients receive care from our world-renowned clinicians and care team. Our experts utilize the most advanced medical knowledge and technology available, providing a level of specialty and subspecialty medical care that is not available anywhere else in Greater Cincinnati. 

UC Medical Center is also home to medical breakthroughs- our physician experts conduct basic, translational and clinical research, leading to new therapies and care protocols, and connecting patients to the latest and most advanced treatments. UC Medical Center houses Greater Cincinnati’s only Level I adult trauma center, which includes the right mix of specialist and medical resources available at a moment’s notice for a wide variety of the most complex medical conditions and injuries. 

Benefits Details:

• Medical, Dental, and Vision Insurance 
• Employee Paid Short- and Long-Term Disability 
• 401K Retirement Benefits
• Tuition Reimbursement Opportunities 
• Community Discounts 

Job Responsibilities  

The Lead Access Coordinator supports verification of insurance coverage utilization different on-line modalities for clinic patients receiving diagnostic testing (i.e. CT, MRI, etc.),along with chemotherapy and radiation therapy and/or surgical procedures. The associate is responsible for obtaining prior authorization requests and/or pre-determination for these services to ensure maximum reimbursement to the organization.

• Interviews patients for registration purposes, reviews eligibility responses, and collects co-pays as appropriate. Enlists help of financial reps for self-pay patients. 
• Provides education and training for registration staff. Functions as a team lead to maintain daily operation and serve as a frontline resource to ED registration and clinical staff. 
• Reviews and corrects accounts in “missing registration item” workqueue and provides feedback to staff on needed improvements. Works “unknown” patient workqueue to update with correct patient information and mark for merge if needed. 
• Reviews patient information on patients going to inpatient status to ensure we have all data and signatures.
• Provides assistance in determining where patient obtains follow up care after ER visits.

Education and Experience Requirements:  

• High School Diploma, Required.
• Associates Degree preferred combination education. 
• One to three years experience in Registration, Billing, Customer Service, or Managed Care Organization work environment. 
• Supervisory experience preferred. 

Required Skills and Knowledge: 

• Analytical skills required to make decisions based on the facility and clinical situation at hand. 
• Computer Literacy – use of multiple systems: EPIC, HTP, Microsoft Office; Ability to use internet access and utilize third party payor systems for eligibility and verification. 
• Knowledge of health insurance coverage and requirements. 
• Excellent communication, problem solving skills, and ability to deal with customers who are often adversarial. Ability to be flexible, organized and function well in stressful situations. Ability to interact independently to resolve Customer Service issues. 
• Typing (Minimum of 35 words per minute). 

Join our team as a Lead Access Coordinator within the Utilization Review department and work alongside the best and brightest clinical teams collaborating toward our common purpose: to advance healing and reduce suffering.  

Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today! 

About UC Health 

UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and t