Access Coordinator

Job Requisition #: JR59002

End Date: 10/25/2021

Location: Newark, Delaware

Position Type: Clerical/Administrative/Billing, Professional

Shift: Day Shift, No Rotation

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ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of “America's Best Hospitals” by U.S. News & World Report, we have an excess of 1,100 beds between our hospitals and are committed to providing the best patient care in the region.  We are proud to that Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and HomeHealth have all received ANCC Magnet Recognition®. 

We are seeking a full-time Access Coordinator to collaborate with physician/office to ensure a seamless delivery of services by facilitating the pre-authorization process for high end imaging procedures in PET/CT.  Promotes physician and patient satisfaction by minimizing their involvement with 3rd party insurance providers for pre-authorizations.  Provides education to the physician office on Imaging CPT coding.  Ensures ICD10 coding on orders meets medical necessity for exams.  Pre-registers patient demographic information into billing computer system. 

PRINCIPAL DUTIES AND RESPONSIBILITIES:   

  • Obtains pre-authorizations, in collaboration with the referring physician office, for high end imaging studies in PET/CT.

  • Communicates patient demographic and clinical information to UM (Utilization Management) companies (MedSolutions, AIM, NIA, and Evicore) and/or 3rd party insurance providers, for referral and pre-certification requirements.

  • Performs daily operational duties such as scheduling, registration, pre-registration, verification, and authorization for imaging procedures utilizing the RIS and HIS computer systems.

  • Maintains a solid working knowledge of insurance and billing requirements related to imaging procedures for maximum reimbursement of claims and to minimize financial risks.

  • Demonstrates skills and knowledge necessary to provide care appropriate to (neonatal, pediatric, adolescent, adult, and geriatric patients), including knowledge of growth and development, the ability to obtain and interpret information to identify patient needs, and provide the care needed.

  • Performs assigned work safely, adhering to established departmental safety rules and practices.  Reports to supervisor, in a timely manner, any unsafe activities, conditions, hazards, or safety violations that may cause injury to oneself, other employees, patients and visitors.

  • Knowledge of CTP and ICD10 coding and 3rd party billing practices.

EDUCATION AND EXPERIENCE REQUIREMENTS:

  • Two years' experience in a medical, financial, or marketing field, required.

  • Directly related work experience may be substituted for educational requirements as determined by Non-Invasive Services Management.  Associates degree in Business/Medical related field preferred.

CHRISTIANACARE OFFERS:

  • Collaborative and team focused environment

  • Management Incentive Plan (annual)

  • Full Medical, Dental, Vision, Life Insurance, etc.

  • 403(b)

  • Generous paid time off

EEO Statement: Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.


UPDATE: ChristianaCare is committed to prioritizing the health and safety of our patients and caregivers. As we continue to meet the needs of our caregivers and our community through the COVID-19 pandemic, our commitment to health and safety requires that we take new steps to ensure a safe environment for medical care for our patients and a workplace that avoids preventable harm for our caregivers. For this reason, vaccination for COVID-19 is required for all caregivers at ChristianaCare and is considered a safety standard that is job-related and consistent with business necessity for all caregivers.

Why do WE offer careers full of possibilities?

For the Love of Health.

Inclusion & Diversity

At ChristianaCare, we’re committed to treating everyone with dignity and respect. We believe in a safe, inclusive work environment that fosters collaboration between caregivers from all walks of life. We know that each unique viewpoint is vital in delivering high-quality, safe patient care to everyone who walks through our doors. Our policies, benefits, hiring practices, employee resource groups, and corporate citizenship demonstrate our commitment to inclusion and diversity throughout our system.

Why do we embrace inclusion and diversity? For the Love of Health.

Our Values

We serve together in Love and Excellence. Our unique values, Love and Excellence are bold and powerful, and they are the reason why working for ChristianaCare is special. The behaviors associated with our values guide how caregivers interact with everyone they work with and make for an exceptional work experience. We believe that when you lead with Love, Excellence is inevitable.

Benefits

ChristianaCare’s comprehensive total rewards package is one of the most competitive in the region. We are proud to offer excellent benefits that reflect the organization’s commitment to being exceptional today and even better tomorrow.

At ChristianaCare, we provide access to high-quality and affordable benefits designed to meet our caregivers where they are. You can tailor your benefits to meet your needs now and adjust them as your priorities change.

Take advantage of ChristianaCare’s wide-ranging benefit offerings from supporting optimal health through medical, prescription, dental and vision coverage to valuable wellness and work/life programs, which include paid parental leave, coverage for infertility and assisted reproductive technologies, an employer-funded short-term disability program, and more.

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Our Region

A Great Place To Live

Our region offers a diversity of cultures, lifestyles, sports and entertainment events, housing options and educational opportunities. Located between Philadelphia and Washington, D.C., our locations provide easy access to two international airports, employment opportunities in a tri-state area, and proximity to some of the nation's top universities and colleges, as well as beaches in MD, DE and NJ!

Why Delaware? Why Maryland?
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We Serve Together

For the Love of Health

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