Patient Access Specialist

Job Summary

A company is looking for a Patient Access Specialist (Differential Waiver) - Prior Authorization.

Key Responsibilities

• Review and validate insurance eligibility, prior authorization, and referrals for medications and procedures
• Communicate with third-party payers and healthcare professionals to gather necessary documentation and confirm benefit coverage
• Collaborate with provider offices and cross-functional teams to ensure medical necessity and manage prior authorizations

Required Qualifications, Training, and Education

• High school diploma or equivalent preferred; post-secondary education is helpful
• Minimum of two years of experience in a hospital or clinic setting required
• Understanding of medical terminology and insurance processes is required
• Proficiency with office equipment and computers is necessary