Consumer Access Specialist – Call Center
J
JobgetherHealthcare access
Based in the United States, Monday through Friday, from 10:30 a.m. to 7:00 p.m. Eastern Time; flexibility to accommodate future staffing needs within departmental operating hours of 7:00 a.m. to 7:00 p.m. Eastern TimeFull-TimeJunior
Salary16.79 - 26.86 USD per hour
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Job Details
- Experience
- At least one year of customer service experience, healthcare experience, or revenue cycle experience is preferred.
- Required Skills
- Microsoft Office
Requirements
- High school diploma or equivalent is required.
- An associate degree is preferred.
- At least one year of customer service, healthcare, or revenue cycle experience is preferred.
- Familiarity with healthcare administrative processes, insurance eligibility, patient financial responsibility, payment arrangements, and revenue cycle operations is an advantage.
- Strong interpersonal skills and a patient-centered approach when handling sensitive financial conversations.
- Excellent verbal and written communication skills, including the ability to explain complex information clearly.
- Working knowledge of Microsoft Office applications and familiarity with database systems.
- Accuracy and organizational skills when handling patient demographics, insurance information, financial estimates, payment records, and medical documentation.
- Ability to prioritize tasks, manage high call volume, document interactions efficiently, and maintain productivity.
- Mature judgment, discretion, and ability to follow complex instructions and established procedures.
- Ability to work remotely Monday through Friday, 10:30 a.m. to 7:00 p.m. Eastern Time, with flexibility within departmental operating hours of 7:00 a.m. to 7:00 p.m. Eastern Time.
- CHAA and CRCR credentials are desirable but not required.
Responsibilities
- Handle high-volume inbound and outbound patient calls about healthcare services, financial responsibilities, insurance coverage, and administrative requirements.
- Prepare out-of-pocket cost estimates, explain patient balances, collect payments, and establish payment plans.
- Contact insurance providers to verify eligibility and benefits, validate policy details, and obtain pre-authorizations.
- Register patients, verify demographic and insurance information, and help prevent duplicate medical records.
- Conduct Medicare compliance reviews and issue Advance Beneficiary Notices of Noncoverage when required.
- Coordinate authorization issues with utilization management staff and explain logistical requirements to patients.
- Document patient and insurance interactions, coverage information, payer decisions, and payment arrangements.
- Perform cashiering and cash reconciliation in accordance with financial controls.
- Coordinate with clinical teams, ancillary services, and consumer access departments, and assist with switchboard calls.
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