Patient Access Specialist

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

📋 Description

• Deliver advanced services to patients, healthcare providers, and caregivers involved in manufacturer-sponsored initiatives.

• Offer support for billing and coding processes.

• Assist with the tracking and submission of claims.

• Aid in managing and tracking prior authorizations.

• Coordinate benefits effectively.

• Conduct benefit verification results and welcome calls.

• Research alternative advanced coverage options.

• Manage appeals and denials.

• Intake and report adverse events as instructed.

• Provide outstanding customer service while resolving or escalating requests and complaints as necessary.

• Develop regional expertise in payer trends and report reimbursement trends and delays to management.

• Process essential correspondence.

• Collaborate with both internal and external service providers according to program policies and service level agreements.

• Ensure the confidentiality of patient-sensitive information is maintained.

• Analyze data and address moderately scoped issues following defined procedures.

• Operate independently from phone or system queues in accordance with standard operating procedures.

• Perform related tasks such as benefit verifications and determinations for Patient Assistance Programs.

⛳️ Requirements

• A high school diploma or GED is required.

• At least four (4) years of progressively responsible and directly related experience in customer service, medical billing and coding, benefits verification, healthcare, business administration, or similar fields.

• Combinations of education and experience that are equivalent will be taken into account.

• Extensive customer service experience is essential.

• Strong oral and written communication skills are required.

• Ability to cultivate effective internal and external working relationships.

• Advanced interpersonal abilities.

• Basic analytical skills are necessary.

• Strong organizational capabilities and attention to detail are vital.

• Proficiency in Microsoft Excel, Outlook, and Word is required.

• A general understanding of the healthcare industry is preferred.

• Flexibility regarding schedule and hours is essential.

• Capability to sit regularly and occasionally lift or move up to 10 pounds is required.

🏝️ Benefits

• Reasonable accommodations are available for individuals with disabilities.

• Commitment to equal employment opportunities and non-discrimination.

• Human review of AI-supported recruiting and hiring decisions.