Patient Access Concierge – Experienced

This is a fully remote position, open to applicants in United States.

📋 Description

• Gather, validate, and uphold patient demographic, insurance, and clinical details.

• Examine patient accounts for thoroughness and address registration discrepancies prior to scheduled services.

• Complete and accurately document the necessary paperwork.

• Confirm insurance eligibility, benefits, referrals, and authorization prerequisites across various payer types.

• Acquire, track, and record prior authorizations and referrals.

• Proactively investigate and resolve intricate insurance eligibility, authorization, and coverage matters.

• Convey authorization requirements, financial responsibilities, and coverage issues to patients, providers, and internal stakeholders.

• Arrange, modify, and coordinate appointments following client and provider guidelines.

• Manage escalated inquiries from patients, providers, and clients.

• Address complex scheduling and patient access challenges.

• Foster relationships with provider offices, insurance carriers, and internal departments to facilitate timely patient care.

• Maintain thorough, accurate, and timely documentation in designated systems.

• Ensure adherence to HIPAA, client requirements, payer guidelines, and organizational policies.

• Detect documentation or workflow challenges and implement corrective measures.

• Achieve productivity, quality, attendance, service, and other team metrics.

• Assist in onboarding and training new team members.

• Recognize workflow inefficiencies and suggest process enhancements.

• Adapt to evolving payer requirements, client expectations, and operational priorities.

• Engage in departmental meetings, quality initiatives, and continuous improvement efforts.

• Perform additional duties as required.

⛳️ Requirements

• High School Diploma or GED is mandatory.

• One to four years of experience in Patient Access, Medical Scheduling, Registration, or related healthcare fields is required.

• Capability to independently verify insurance eligibility, secure prior authorizations, and manage appointment scheduling.

• Experience in resolving moderately complex insurance, authorization, or patient access issues with minimal supervision.

• Familiarity with electronic medical record systems, preferably Epic or Cerner.

• Solid understanding of commercial insurance, Medicare, Medicaid, and managed care plans.

• Exceptional customer service, communication, organizational, and problem-solving abilities.

• Proficient in Microsoft Office and web-based healthcare applications.

• Ability to juggle multiple priorities while ensuring accuracy and professionalism.

• Capacity to work independently in a remote setting with limited daily oversight.

• Access to reliable high-speed internet.

• A private, quiet, and focused workspace to protect patient confidentiality.

• Ability to communicate clearly and professionally with patients, providers, and colleagues.

• Capability to manage high-volume calls and inquiries, including phone-based communication for up to 8 hours daily.

• Frequent typing and data entry across various software applications.

• Ability to maintain compliance with HIPAA and patient confidentiality.

• Availability for occasional overtime based on business requirements.

🏝️ Benefits

• Employer-sponsored Medical, Dental & Vision plans.

• Employer Paid Life, Short-term and Long-term Disability, and AD&D Insurance Plans.

• Flexible Time Off Plan.

• Paid Holidays.

• Employee Referral Bonus.

• Fully remote work arrangement.

• Occasional overtime may be required based on business needs.