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Experience

10 Jobs

8 Companies

Patient Access Specialist

Brault

Practice Solutions with a Clinical Edge

Patient Access Specialist13 hours ago

Full Time Remote Mid LevelTeam 201-500Since 1990H1B No Sponsor

Company Site LinkedIn

Role Description This position is responsible for reviewing, verifying, and filling in missing registration/insurance information on encounters received electronically. The role applies and/or corrects billing details based on insurance carrier requirements and established departmental and company policies and procedures. - Manages multiple client accounts according to assigned volume and established productivity expectations. - Routinely monitors and reports low volumes, missing dates of service, and encounters lacking required insurance or payer information. - Uses the RICA coding application and AthenaIDX to update and correct demographic records based on hospital/client data, resolving demographic, insurance, and Patient Access–related errors, edits, and rejections. - Conducts necessary verification checks and assigns accurate payer information to support timely billing and maintaining a minimum accuracy rate of 95% in accordance with departmental and company policies. - Takes ownership of Level 2 escalations from the offshore team, identifies and resolves issues preventing claim submission, and provides feedback or trending observations to the PA & EDI Supervisor for follow-up. - Processes work within 2 business days from the date the work became available; notifies supervisor when not on target. - Completes daily production records accurately and on time. - Communicates any deviations from established workflows and escalates issues that impact daily submission or month-end close. - Consistently communicates with others with respect, kindness, and understanding; is honest and clear; treats sensitive information confidentially; is perceived as positive and demonstrates quality services. - Collaborates with internal teams (Billing, Coding, Enrollment, EDI, Leadership) when clarification or cross-departmental support is required. - Participates in ongoing training, updates, and process improvements, ensuring compliance with evolving payer guidelines and internal workflows. - Performs other related duties as assigned. - Adheres to all Company policies and procedures (i.e. Administrative and Human Resources), practices safe work habits, and maintains high business standards. Qualifications - Strong attention to detail and accuracy, with the ability to identify discrepancies in demographic and insurance information. - Ability to interpret eligibility files and understand payer requirements, rules, and coverage limitations. - Knowledge of insurance types, payer hierarchy, and coordination of benefits. - Ability to work independently with minimal supervision, manage pressure, and meet established deadlines. - Computer literacy and proficiency with Microsoft Office (Excel required). - Excellent communication skills for collaboration with internal teams and external partners. - Ability to prioritize work and manage competing tasks. - Understanding of HIPAA and handling of Protected Health Information (PHI). - Critical thinking and problem-solving abilities to identify root causes of errors and determine appropriate corrective actions. Requirements - Requires High School Graduate or GED. - Minimum of one year in the healthcare industry. - Experience with Athena IDX a plus. - Preferred Insurance data entry / Medical Front office training and/or Certification. Supervisory Responsibilities - No Supervisory Responsibilities.

View details: Patient Access Specialist

United States

$17 - $20 / hour

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Patient Access Specialist III

University of Maryland Emergency Medicine

Patient Access Specialist8 days ago

Full Time Remote Mid LevelTeam 201-500

Role Description Responds to a high volume of appointment requests, including: - Telephone calls - Emails - Work queues - Other electronic messages Responsible for scheduling appropriate medical exams, procedures, and tests with and without demographic collection and insurance registration, and serve as escalation point for questions from Specialists I and II and complex scheduling requests. Qualifications - High school diploma or general education degree (GED) preferred - Minimum 3 years of medical office or call center experience - Strong computer skills (specific programs as deemed by department) - Strong customer service and phone etiquette skills - Accurate data entry skills Requirements - The referenced base salary range represents the low and high end of University of Maryland’s Faculty Physician’s Inc. salary range for this position. - Some candidates will not be eligible for the upper end of the salary range. - Exact salary will ultimately depend on multiple factors, which may include: - Successful candidate's geographic location - Skills - Work experience - Market conditions - Internal equity - Responsibility factor and span of control - Education/training and other qualifications Benefits - University of Maryland Faculty Physician’s Inc. offers a total rewards package that supports our employees' health, life, career, and retirement. - More information can be found here .

View details: Patient Access Specialist III

United States

$44.2K - $66.4K / year

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Job Closed

Patient Access Specialist

Option Care Health

Providing extraordinary care that changes lives

Patient Access Specialist9 days ago

Full Time Remote Mid LevelTeam 5,001-10,000Since 1987H1B No Sponsor

Company Site LinkedIn

• 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.

View details: Patient Access Specialist

Texas

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Job Closed

Patient Access Specialist

Prisma Health

Our Purpose: Inspire health. Serve with compassion. Be the difference.

Patient Access Specialist10 days ago

Full Time Remote Mid LevelTeam 10,001+H1B Sponsor

Company Site LinkedIn

• Receives and interviews patients to collect and verify pertinent demographic and financial data • Verifies insurance and initiates pre-authorization process when required • Collects required payments or makes necessary financial arrangements • Performs all assigned duties in a courteous and professional manner • Interviews patient or other source to secure information relative to financial status, demographic data and employment information • Enters accurate information into computer database • Verifies insurance coverage/benefits utilizing online eligibility or by telephone inquiry to the employer and/or third party payor • Obtains necessary signatures and other information on appropriate forms and documents as required • Receives payments and issues receipts, actively working toward collection goals • Prepares and distributes appropriate reports, documents, and patient identification items as required • Communicates to patients their estimated financial responsibility.

View details: Patient Access Specialist

South Carolina

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Job Closed

Admission Specialist

Innovative Network of Knowledge

Patient Access Specialist10 days ago

Part Time Remote Mid LevelTeam 51-200

Role Description We are seeking an experienced Admission Specialist to guide prospective families through the enrollment process with care, expertise, and efficiency. This role is vital in ensuring a smooth and supportive admissions experience, from initial inquiry to enrollment completion. The ideal candidate is detail-oriented, customer-focused, and has a strong background in admissions, enrollment, or customer service. Essential Position Functions - Serve as the primary point of contact for prospective families, providing expert guidance on enrollment requirements, tuition, financial aid, and program offerings. - Manage the full admissions process, from inquiry to enrollment, ensuring a seamless and positive experience for families. - Review and verify required enrollment documents, including proof of residency and transcripts, in compliance with school and state regulations. - Collaborate with the Educational Concierge team to support families in selecting the best academic pathway for their child. - Maintain accurate records of all admissions interactions in the student information system (SIS) and CRM platform. - Conduct virtual open house sessions and information meetings to engage and inform prospective families. - Work closely with marketing and recruitment teams to align messaging and ensure consistency in the admissions process. - Stay up to date on state-specific education savings account (ESA) programs and financial aid opportunities to assist families effectively. - Assist with managing customer service tickets in the CRM platform, providing timely responses and resolutions to family inquiries, technical issues, and general concerns. - Monitor and prioritize incoming tickets, ensuring that all inquiries are addressed promptly and professionally, with a focus on maintaining a positive customer experience. - Work closely with the customer service team to escalate complex issues and collaborate on problem resolution. - Ensure customer service interactions are logged accurately in the CRM, tracking communication and follow-up needs. - Keep detailed, updated notes on family interactions and inquiries in the CRM to maintain clear and consistent communication and to support decision-making throughout the admissions process. - Provide ongoing nurture and support to prospective families, maintaining regular, thoughtful communication until a final enrollment decision is made. - Track and report on key metrics related to the admissions process, including response times, conversion rates, and family engagement, to ensure continuous improvement and effective follow-up strategies. - Analyze data and trends to identify areas for improvement in the admissions and customer service process, helping to optimize the overall family experience. - Ensure all prospect and family data is entered accurately and updated regularly in the CRM to support reporting and follow-up efforts. - Other duties as assigned. Qualifications - 2 years of experience in admissions, enrollment, student services, or a related field, preferably in an online or private school setting. - Proficiency in using student information systems (SIS), CRM platforms, and Microsoft Office/Google Suite. - Familiarity with education savings accounts (ESAs), financial aid, or tuition assistance programs is a plus. - Strong customer service and communication skills with the ability to build rapport and provide personalized support. - Detail-oriented with strong organizational and data management skills. - Experience with CRM platforms and handling customer service tickets is a plus. Education & Certification Requirements - Required - High school diploma required, Bachelor's degree preferred. Benefits - Educational Concierge: Every family has access to a dedicated Educational Concierge to assist with enrollment, course planning and ongoing academic guidance, ensuring each student finds their unique path to success. - Goal-Oriented Tracking: We help students set meaningful milestones and track their progress, encouraging achievement and celebrating every accomplishment along the way. - Community-Focused Learning: Our programs are structured to foster collaboration and connection, building confidence and social skills even within a virtual setting.

View details: Admission Specialist

United States

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Job Closed

Senior Clinical Admissions Specialist, Patient Access

Flourish Health

Expert care for young people with serious mental health needs, delivered when and where they need it.

Patient Access Specialist11 days ago

Full Time Remote SeniorTeam 11-50H1B No Sponsor

Company Site LinkedIn

• Complete brief mental health assessments, triage, and obtain collateral clinical information for adolescents, young adults, and families via telehealth • Complete timely, high-quality documentation and follow-up for each clinical interaction • Determine clinical fit, risk level, and appropriate next steps—within Flourish or through external referrals • Serve as the clinical subject matter expert on state-specific contracts, admission pathways, eligibility requirements, and referral processes • Communicate with referral sources, managed care organizations, state agencies, juvenile justice programs, child welfare agencies, and other external stakeholders to coordinate admissions and ensure timely progression through the intake process • Track and manage contract-specific admission requirements, timelines, and documentation needs to support compliance and operational excellence • Serve as a trusted team resource regarding contract requirements, referral expectations, and complex admission scenarios • Collaborate closely with multidisciplinary teams including therapists, care advocates, and operations partners • Use clinical judgment to meet families where they are—motivating engagement while maintaining appropriate clinical boundaries • Support with covering full-time assessment role PTO and clinical administrative work as needed

View details: Senior Clinical Admissions Specialist, Patient Access

United States

$92K - $95.9K / year

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Job Closed

Patient Access Specialist, Full time Days

Northwestern Medicine

What makes us better, makes you better.

Patient Access Specialist11 days ago

Part Time Remote Mid LevelTeam 10,001+H1B No Sponsor

Company Site LinkedIn

• Consistently practices Patients First philosophy and adheres to high standards of customer service • Responds to questions and concerns • Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary • Maintains patient confidentiality per HIPAA regulations • Provides exceptional customer service to patients • Exceeds all consumer requests and alerts management of issues • Correctly identifies and collects patient demographic information • Interacts with various hospital departments and physicians' offices • Reaches out to patients to schedule appointments • Performs medical necessity checks • Informs patients of financial account issues • Completes out-of-pocket estimations as requested • Provides training and education as needed • Manages work schedule efficiently

View details: Patient Access Specialist, Full time Days

Illinois + 3 more

$18 - $27 / hour

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Job Closed

Urgent Admission Specialist

Prisma Health

Our Purpose: Inspire health. Serve with compassion. Be the difference.

Patient Access Specialist11 days ago

Full Time Remote Mid LevelTeam 10,001+H1B Sponsor

Company Site LinkedIn

Role Description Responsible for communicating and providing information which meets the payor requirements for initial notification of Inpatient admissions and Observation, timely completion of insurance verification, and authorization related activities to financially secure patient accounts. This includes timely submission of appropriate documentation in order to meet third party payor requirements which helps ensure that Prisma Health receives timely and accurate reimbursement. Collaborates as appropriate with other departments to ensure efficient processes and facilitate problem solving. Accountabilities - Acts as the initial point of contact to all payors for Inpatient admissions and Observation, including timely submission of appropriate documentation as required by the payor(s) for the initial authorization/notification purposes. - Ensures appropriate statistical data is obtained for patients in assigned patient population areas; communicating with payors timely and accurately. - Updates and maintains authorization numbers and approved days in registration and/or other applicable systems as appropriate. Secures discharge dates for payers as assigned. - Verifies insurance coverage/benefits utilizing online eligibility or by telephone inquiry to the employer and/or third party payor. - Documents information obtained through insurance verification in the system. Ensures insurance priorities are correct based on third party requirements/COB. - Initiates pre-certification process as required according to departmental guidelines. - Interviews patients or representatives (in accordance with HIPAA and EMTALA Guidelines) to secure information relative to financial status, demographic data and employment information when necessary. - Enters accurate information into computer database. Accesses Sovera to review and ensure the most recent insurance card is on file. Follows up for incomplete and missing information. Supervisory/Management Responsibilities This is a non-management job that reports to a supervisor, manager, director or executive. Qualifications - Education - High School diploma or equivalent - Experience - 3 years in Revenue Cycle, Patient Access/Billing, Collections and/or Customer Service Requirements - Medical Terminology - Basic computer skills - Knowledge of office equipment - Proficient computer skills (word processing) - Data entry Work Shift Day (United States of America) Location 1200 Colonial Life Blvd Facility 7001 Corporate Department 70019073 PreAccess Services Company Description Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

View details: Urgent Admission Specialist

United States

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Job Closed

Patient Access Specialist

Option Care Health

Providing extraordinary care that changes lives

Patient Access Specialist29 days ago

Full Time Remote Mid LevelTeam 5,001-10,000Since 1987H1B No Sponsor

Company Site LinkedIn

View details: Patient Access Specialist

Hawaii

$17 - $29 / hour

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Patient Access Specialist

Expressable

Committed to improving speech and language outcomes for children and adults with affordable, online therapy.

Patient Access Specialist46 days ago

Full Time Remote Mid LevelTeam 11-50H1B No Sponsor

Company Site LinkedIn

• 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.

View details: Patient Access Specialist

United States

$23 - $26 / hour

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