Access Coordinator

Job Requisition #: JR63690

End Date: 6/30/2023

Location: Newark, Delaware

Position Type: Clerical/Administrative/Billing, Clinical (non-nursing)

Shift: Day Shift, No Rotation

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ChristianaCare is hiring a fulltime Access Coordinator for their neuro office in Newark, DE.

The Access Coordinator is responsible for obtaining benefits and precertification/prior authorizations for imaging, testing and Medications.

PRINCIPAL DUTIES AND RESPONSIBILITIES:   

  • Monitor and prioritize incoming patient orders.
  • Verify patient's insurance benefits.
  • Obtain authorization via payor website or by phone.
  • Evaluate portions to be paid and notify the patients of their deductibles and co-insurance amount.
  • Contact the referring office to obtain any referrals required.
  • Gather information needed to complete the prior authorization and contact patients as needed to obtain additional information.
  • Update patients on reason for denial.
  • Regularly follow up with the status of the authorization.
  • Initiate appeals for denied authorizations.
  • Respond to questions regarding the payor's medical policy guidelines.
  • Confirm accuracy of CPT and ICD-10 diagnosis in the patient's order.
  • Update Practice of authorization received or denied.
  • Arrange for medication delivery to the CCHS pharmacy upon authorization approval.
  • 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.
  • Performs other related duties as required.

EDUCATION AND EXPERIENCE REQUIREMENTS:

  • High School Diploma
  • At least 2 years prior authorization experience preferred
  • Familiar with medical terminology
  • Possess professional phone etiquette
  • Ability to apply good verbal and written communication

KNOWLEDGE, SKILL, AND ABILITY REQUIREMENTS:

  • Knowledge of procedure authorization and its direct impact on the practice's revenue cycle
  • Understanding of payer medical policy guidelines while utilizing these guidelines to manage authorizations effectively.
  • Basic understanding of human anatomy, specifically musculoskeletal.
  • Proficient use of CPT and ICD-10 codes.
  • Knowledge of 3rd party billing practices.
  • Knowledge of medical terminology.
  • Excellent computer skills including Excel, Word, and Internet use.
  • Detail oriented with above average organizational skills.
  • Plans and prioritizes to meet deadlines.
  • Excellent customer service skills; communicates clearly and effectively.
  • Ability to multitask and remain focused while managing a high-volume, time-sensitive workload.

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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