Patient Access Specialist

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

📋 Description

• This role is accountable for reviewing, verifying, and completing any missing registration or insurance details on electronically received encounters.

• Oversees multiple client accounts based on assigned volume and established productivity standards.

• Regularly monitors and reports on low volumes, absent service dates, and encounters that lack necessary insurance or payer information.

• Utilizes the RICA coding application and AthenaIDX to amend and update demographic records in accordance with hospital or client data.

• Performs essential verification checks and assigns accurate payer information to facilitate timely billing processes.

• Takes responsibility for Level 2 escalations from the offshore team.

• Ensures work is processed within two business days from when it becomes available.

• Accurately completes daily production records in a timely manner.

• Communicates any deviations from established workflows and escalates issues affecting daily submissions or month-end closures.

• Consistently engages with colleagues in a respectful, kind, and understanding manner.

• Collaborates with internal teams (Billing, Coding, Enrollment, EDI, Leadership) when clarification or support across departments is needed.

• Participates in ongoing training, updates, and process enhancement initiatives.

⛳️ Requirements

• Must possess a High School Diploma or GED.

• At least one year of experience in the healthcare sector is required.

• Familiarity with Athena IDX is advantageous.

• Preferred background includes training and/or certification in Insurance data entry or Medical Front office.

🏝️ Benefits

• Comprehensive health benefits package.

• Opportunities for professional development and training.

• Supportive work environment with a focus on teamwork.

• Competitive salary and performance incentives.