Medical Access Coordinator

3 weeks ago


Orlando, Florida, United States AppleOne Full time

Job Title: Medical Access Coordinator

Location: Orlando, FL

Salary: $17/hour

About the Job

We are seeking a highly skilled Medical Access Coordinator to join our team in Orlando, FL. As a key member of our team, you will be responsible for ensuring seamless patient access to diagnostic and genetic laboratory testing.

About the Role:

  • Submit PA requests via online portals and other methods for diagnostic and genetic laboratory tests;
  • Complete benefits investigations and other processes to facilitate patient access to diagnostic and genetic laboratory testing;
  • Populate Insurer forms and solve issues regarding existing and/or missing forms;
  • Serve clients by handling inbound calls from health care providers, payers, and patients and responds to escalated inquiries;
  • Able to professionally and appropriately handle physician/payor call escalations;
  • Ability to follow and participate in the development of SOPs;
  • Deliver Quality work and maintains high meet to exceeds scores on Quality audits & metrics;
  • Work at times with our newest and most challenging accounts, working well under pressure;
  • Troubleshoot where necessary to achieve goal of obtaining authorization; Identifies and resolves prior authorization issues/patient access issues. Appropriately documents all payer, patient, and client interactions;
  • Able to learn system software and adjust to system enhancements;
  • Work in a flexible environment, where the work performed can change quickly and where responsiveness is key;
  • Follow up on pending cases with payers, patients, healthcare providers, and laboratories through to resolution both verbally and in writing in a professional manner.
About You

To be successful in this role, you will require:

  • Healthcare background or coding, with medical terminology;
  • Previous experience with prior authorizations and medical insurance knowledge (Familiar with Medicaid, Medicare, and commercial payers);
  • Medical Billing experience Preferred;
  • Computer Skills;
  • Minimum 2 years' experience with Microsoft Word and Excel;
  • Oncology related experience a plus;
  • Laboratory related experience a plus;

Benefits: We offer major medical, dental, vision, 401k and any statutory sick pay where required. AppleOne is committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.



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