Patient Access Specialist
New
Remote-USFull-TimeMiddle
Salary26 - 31 USD per hour
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Job Details
- Languages
- Spanish
- Experience
- 1-3 years 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.
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.
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