Access Coordinator at Essentia Health

Building Location

Business Service Center Department: 1007190 PRE-SERVICE AUTHORIZATION - EH SS Job Description: The Access Coordinator gathers necessary insurance information and uses expertise to translate the information provided by the patient/guarantor into the computer system, resulting in accurate claim submissions. May be responsible for some or all of the following: insurance verification, ICD 10 or HCPC code selection, prior authorization, pre-certification, medical necessity determination, referrals, workers compensation authorization, service estimates, patient communication when services are not covered, pre-service collections. Education

Qualifications

• Key

Responsibilities

• Prepares and submits payer-specific prior authorizations and referrals in alignment with relevant guidelines and medical policy criteria Accurately identifies required insurance verification and medical documentation in accordance with payer policy Collaborates with clinicians and medical practitioners to obtain all necessary information for successful authorization approval Thoroughly documents all interactions and actions related to insurance processes within the electronic Medical Record (EMR) system Regularly reviews and monitors assigned work queues, identifying, and focusing on accounts with the highest financial reimbursement risk Adapts to urgent clinical needs while maintaining high-quality work outputs within specified timelines Communicates with patients as needed to facilitate medical clearance Develops pre-service estimates and supports pre-service collections Supports the review of prior authorization requests that do not initially meet criteria and works collaboratively with relevant stakeholders to resolve issues or coordinate necessary clinician-to-health plan interventions Required

Qualifications

• 1 year of relatable healthcare experience Preferred

Qualifications

• Healthcare experience within patient care, registration, scheduling, pre-certifications/prior authorizations, collections, and medical terminology Licensure/Certification

Qualifications

• FTE: 1 Possible Remote/Hybrid Option: Remote Shift Rotation: Day Rotation (United States of America) Shift Start Time: Days Shift End Time: Days Weekends: NO Holidays: No Call Obligation: No Union: DC USWA Main & Neighborhoods (DCUMN) Union Posting Deadline: 07/8/2026 Compensation Range: $20.20 - $30.09 Employee

Benefits

• at Essentia Health: At Essentia Health, we’re committed to supporting your well-being, growth, and work-life balance. Our comprehensive

Benefits

• include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs.
• We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs.
• To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health.
• Please note that benefit eligibility may vary.
• For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000.