Access Manager - Healthcare Claims, PAs, Reimbursement & Appeals (Fully Remote)

PRO-Spectus; United States; A distancia; USD 60.000 - 75.000; Jornada completa

Descripción de la vacante

PRO-Spectus in the United States is seeking a detail-oriented insurance verification specialist to manage end-to-end benefit verification, authorization, and reimbursement workflows. You will serve as the primary contact for patients, providers, and payors, ensuring clear communication and accurate processing while supporting a patient-centered care approach.

The role emphasizes teamwork within a supportive culture and requires knowledge of coding and billing practices to resolve denials

Formación

• Experience with prior authorization, appeals, coding, and payment processes.
• Strong communication and ability to work independently.
• Adaptability in a patient-centric environment.

Responsabilidades

• Manage end-to-end insurance verification, authorization, and reimbursement.
• Serve as point of contact for patients, providers, and payors.

Conocimientos

Prior authorization

Appeals

Medical coding

Payment processing

Clear communication

Independent work

Adaptability

Descripción del empleo

• Manage end-to-end insurance verification, authorization, and reimbursement.
• Serve as point of contact for patients, providers, and payors.

Skills & Requirements:

• Know prior authorization, appeals, coding, and payment.
• Communicate clearly, work independently, and adapt quickly.
• Supportive, teamwork-driven culture focused on patients.

PRO-Spectus supports patient services programs by navigating patient access from benefit verification through claims and reimbursement resolution. The company fosters a supportive, teamwork-driven culture focused on improving patients' lives.