Patient Access Specialist

Responsibilities

• Manage a high volume of inbound and outbound patient calls with professionalism, empathy, and courtesy.
• Verify patient eligibility and insurance benefits using online tools or by contacting insurers directly.
• Educate patients about insurance coverage, estimated out-of-pocket costs, and available financial assistance programs.
• Administer financial assistance programs.
• Submit and manage prior authorization cases, ensuring timely follow-up and resolution.
• Accurately document patient interactions and follow-up activities within the billing system.
• Obtain and manage necessary documentation while collaborating with Revenue Cycle and Customer Success teams.
• Build positive relationships with patients and internal stakeholders to resolve issues efficiently.
• Support additional duties, special projects, and process improvement initiatives as needed.

Requirements

• Associate's degree required.
• 1–3 years of relevant healthcare or patient access experience.
• Experience in a high-volume call center or patient-facing healthcare environment strongly preferred.
• Strong knowledge of medical benefits, insurance policies, coordination of benefits (COB), prior authorization workflows, and payer requirements for reimbursement from Medicare, Medicaid, and commercial insurance plans.
• Customer-focused approach with the ability to remain calm and professional in high-pressure situations.
• Exceptional organizational, problem-solving, and communication skills.
• Ability to quickly learn new systems, tools, and processes.
• Must be authorized to work in the United States.

Nice to Have

• Experience in a startup environment.
• Fluency in Spanish.

Compensation

• Fixed-term contract lasting approximately 3–6 months.