Patient Access Specialist

Job Summary

To support patient access to care management services, the remote contracted Patient Access & Eligibility Specialist will verify insurance coverage, confirm program eligibility, and assist patients through administrative intake processes while ensuring accurate documentation within electronic medical record systems.

Key responsibilities

• Answer incoming patient calls, providing professional assistance and managing voicemail communications
• Verify patient insurance coverage and eligibility for care management programs, documenting results accurately
• Prepare eligible patient lists for the Enrollment team and support administrative workflows related to patient enrollment

Required qualifications

• 1-3 years of experience in healthcare administration, patient access, or insurance verification
• Experience verifying health insurance eligibility and benefits
• Familiarity with Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) preferred
• Experience working with electronic medical record (EMR) systems
• Strong technical proficiency and ability to learn new healthcare platforms quickly