ChristianaCare's Clinical Essential Services department is looking to hire a Full time Access Coordinator in Elkton, Maryland.

The Access Coordinator will be collaborating with ordering providers and practices to ensure a seamless delivery of services facilitated by the pre-authorization process for the Medical Group. Promotes provider and patient satisfaction by minimizing their involvement with 3rd party insurance providers for preauthorization. Provides efficient and timely information to optimize care delivery and avoid billing denials. Enters authorization information into appropriate systems to ensure scheduling and billing requirements are met.

Work Schedule:

Monday- Friday: Day Shift

No weekends or holidays.

Hybrid work schedule available. This is ad hoc per departmental needs.

Opportunity for great work-life balance!

Key Responsibilities

Obtains preauthorization, in collaboration with the ordering provider for any medical service or procedure that the payor deems necessary.

Communicates patient demographic and clinical information to 3rd party insurance providers, for referral and precertification requirements.

Performs daily operational duties utilizing appropriate systems, patient EMR record as well as billing system, and multiple insurance databases.

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

Coordinates with patient financial services to investigate and resolve billing discrepancies/denials.

Completion of forms and communication with vendors for patient assistance programs.

Coordinates with ordering providers to facilitate peer to peer reviews for denials, while identifying trends to reduce the necessity of peer review.

Participates in quality assurance as directed to assure ongoing improvement in departmental and individual performance.

Presents a professional, well-groomed appearance in accordance with departmental dress code guidelines.

Attends departmental in-services and staff meetings as required.

Benefits & Incentives

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

Two retirement planning offerings, including 403(b) with company contributions.

Generous paid time off with annual roll-over and opportunities to cash out.

12 week paid parental leave.

Tuition assistance

Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets, insurance and much more!

Qualifications:

High school diploma or equivalent required

Medical Assistant experience preferred, not required

At least 3 years of progressively responsible clinical administrative experience

Knowledge of medical terminology

Proficiency in working with computers and various computer software applications.

Interested candidates should attach an updated copy of their resume during the application process.

Why ChristianaCare

ChristianaCare is rated by Forbes as the 2nd best health system for diversity and inclusion, and the 29th best health system to work for in the United States, and by IDG Computerworld as one of the nation’s Best Places to Work in IT. ChristianaCare is rated by Healthgrades as one of America’s 50 Best Hospitals and continually ranked among the nation’s best by U.S. News & World Report, Newsweek and other national quality ratings.

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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.