Pre-Access Coordinator

This is a fully remote position, open to applicants in Arizona, +21 more states.

📋 Description

• Confirm insurance eligibility, benefits, and network participation for physician offices, hospitals, and ambulatory surgery centers.

• Obtain authorizations and pre-certifications for requested procedures within specified timelines.

• Collaborate with clinical teams concerning unattainable authorizations and potential procedure delays.

• Reach out to payers and utilize electronic verification tools to validate coverage and benefit details.

• Verify effective dates, copay amounts, deductibles, coinsurance, out-of-pocket expenses, and group information.

• Input and update insurance data for billing, referrals, and ensuring account accuracy.

• Assess coverage for same-day and future appointments while proactively addressing eligibility concerns.

• Investigate and rectify insurance discrepancies, connecting patients and guarantors with the appropriate coverage.

• Communicate with provider offices to gather missing details and resolve verification issues.

• Prepare cost estimates for patients and clarify financial responsibilities based on insurance benefits.

• Reach out to patients regarding coverage, estimated balances, and payment arrangement options.

• Manage insurance verification, financial counseling, and patient account inquiries while adhering to productivity standards.

• Uphold HIPAA compliance.

• Contribute to process improvement initiatives and work collaboratively with team members and stakeholders.

⛳️ Requirements

• High school diploma or equivalent is mandatory.

• A minimum of 1–2 years of experience in insurance verification, patient access, revenue cycle, medical billing, healthcare customer service, or a similar healthcare environment.

• Familiarity with EMR systems such as Meditech, Epic, Cerner, Allscripts, Nextgen, HST/Clarity, Waystar, or comparable platforms.

• Proficient in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint, Teams) and other relevant business software.

• Skilled in using electronic insurance verification tools and online resources.

• Understanding of commercial and government insurance plans, including HMO, PPO, POS, and Open Access plans.

• Strong attention to detail with accurate maintenance of insurance and account information.

• Excellent verbal and written communication abilities.

• Strong organizational, time management, and multitasking capabilities.

• Capacity to conduct sensitive financial discussions professionally and discreetly.

• Ability to work both independently and as part of a team.

• Commitment to reliability, punctuality, and outstanding attendance.

• Agreement to undergo criminal background checks, employment verification, and government exclusion checks as a condition of employment or engagement.

🏝️ Benefits

• Completion of a criminal background check, employment verification check, and government exclusion check as part of the hiring process.

• Opportunity for remote work arrangements.