Providing extraordinary care that changes lives
Patient Access Specialist
Location
Hawaii
Posted
30 days ago
Salary
$17 - $29 / hour
Seniority
Mid Level
Job Description
Patient Access Specialist
Option Care Health
• Engages with patient, referral source, sales, pharmacy, and nursing to coordinate discharge and secure nursing and delivery. • Creates, communicates and obtains all required documentation for new referrals. • Secures patient’s upfront payment including assisting patients to find avenues for payment where needed (identifies opportunities and directs patient to financial assistance program). • Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where missing). • Assist Supervisor and Manager with special assignments as needed.
Job Requirements
- High school diploma or equivalent is required.
- Minimum of two years of experience in related experience required.
- Ability to multi-task and support numerous referrals/priorities at one time.
- Ability to work in a fast past environment.
- Must be detail-oriented and have a high degree of quality focus.
- High degree of customer service skills required.
- Ability to trouble shoot, problem solves and collaborate with cross-functional team members across sales and operation functions.
- Previous healthcare/medical billing experience preferred.
Benefits
- Medical, Dental, & Vision Insurance
- Paid Time off
- Bonding Time Off
- 401K Retirement Savings Plan with Company Match
- HSA Company Match
- Flexible Spending Accounts
- Tuition Reimbursement
- myFlexPay
- Family Support
- Mental Health Services
- Company Paid Life Insurance
- Award/Recognition Programs
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• Deliver an outstanding, responsive customer experience by supporting patient, family, referral source, and insurance inquiries across phone, email, text, and chat. • Manage high-complexity insurance workflows, including secondary coverage, nuanced benefit structures, and multi-step authorization requirements. • Manage inbound support requests and conduct proactive outreach to collect required documentation, close gaps in care, resolve concerns, schedule client appointments and improve overall client outcomes. • Verify insurance benefits with accuracy, determine coverage/benefit limits, and ensure timely financial clearance prior to services. • Prepare, submit, and track prior authorizations using appropriate systems; communicate authorization status, issues, and requirements to clinicians, clients, and internal teams. • Support billing and financial inquiries by explaining charges, EOBs, deductibles, copays, payment plans, and financial policies; collect and process payments securely. • Partner closely with clinical, scheduling, and operations teams to ensure accurate treatment plan alignment, session readiness, and continuity of care. • Respond to internal inquiries about the status of in-process cases in a timely manner. • Partner with the Revenue Integrity and Payer Compliance teams to resolve front-end rejections and registration related denials which includes collecting and updating patient billing information to ensure accurate submission/resubmission of claims. • Maintain exemplary documentation quality in CRM/EHR systems, ensuring compliance with HIPAA, PCI, payer rules, and internal policies. • Identify recurring issues or inefficiencies and recommend updates to workflows, job aids, or scripts; support pilots and process-improvement initiatives. • Assist with onboarding and training of new team members by modeling strong communication, documentation, and case management practices. • Manage an independent caseload, consistently meeting SLAs, quality standards, and follow-through expectations across all assigned work.

