United States onlyThe Patient Access Specialist ensures a positive experience for patients by managing communications, verifying insurance details, and providing education on payment options. This role involves accurate documentation, collaboration with internal teams, and proactive issue resolution, while contributing to broader initiatives and process improvements.
Essential Responsibilities:
- Manage a high volume of inbound and outbound calls with professionalism and courtesy.
- Verify patient eligibility and insurance benefits using online tools or by contacting insurers directly.
- Educate patients about their insurance coverage, out-of-pocket costs, and available options for financial assistance.
- Administer financial assistance programs.
- Submit and manage prior authorization cases, ensuring timely follow-up and resolution.
- Accurately document all interactions and follow-up activities in the billing system.
- Obtain and manage all necessary documentation, collaborating with internal revenue cycle and customer success teams.
- Build positive relationships with patients and stakeholders to resolve issues effectively.
- Support additional duties, special projects, or process improvement initiatives as needed.
Education and Experience Requirements:
- Associates degree required.
- 1-3 years experience relevant healthcare experience.
- Strong knowledge of medical benefits, insurance policies, coordination of benefits (COB), prior authorization workflows, and payer requirements for reimbursement from Medicare, Medicaid, and commercial insurances.
- Customer-focused approach with the ability to handle high-pressure situations.
- Exceptional organizational, problem-solving, and communication skills.
- Flexibility to adapt to new tools, processes, and team dynamics.
- Experience in a start-up environment is a plus.
- Fluency in Spanish is preferred.
