Patient Access Specialist

Job Summary

Owning the authorization lifecycle, the full-time Patient Access Specialist will submit requests, manage payer follow-ups, and assist healthcare professionals remotely during fixed hours of 9PM-6AM PHT.

Key responsibilities

• Submit and track authorization requests through payer portals while collecting necessary clinical documentation
• Manage high-volume workloads, ensuring timely follow-ups and maintaining accurate documentation
• Assist healthcare professionals and insurance members with authorization-related inquiries and billing explanations

Required qualifications

• Experience in prior authorization within a healthcare BPO, hospital, clinic, payer-services team, or revenue cycle department
• Proficiency in navigating EHR/EMR systems and payer portals
• Strong organizational skills with the ability to manage multiple queues and prioritize tasks effectively
• Familiarity with HIPAA regulations and confidentiality practices
• Ability to communicate clearly and professionally with healthcare professionals and patients