Customer Access and Reimbursement Specialist

Baylor Miraca Genetics Laboratories LLC; United States; Remote; USD 60,000 - 85,000; Full time

Job summary

Baylor Miraca Genetics Laboratories LLC is seeking a Customer Access and Reimbursement Specialist to support patient access and reimbursement processes remotely in the United States. The role focuses on verification of benefits, prior authorizations, and assisting patients with financial options to minimize out-of-pocket costs.

The position requires collaboration with billing, clinical, and customer experience teams, ensuring accurate documentation and compliant handling of patient data in a

Qualifications

• Bachelor's degree required and at least 2 years in healthcare revenue cycle.
• Experience with patient access, verification of benefits, and prior authorizations.
• Strong communication and organizational skills.

Responsibilities

• Verify insurance coverage and benefits to ensure timely access.
• Assist patients with reimbursement processes and financial assistance.
• Coordinate prior authorizations with providers, payers, and patients.
• Review and reconcile patient balances and ensure accurate billing.
• Maintain documentation of patient interactions and applications.
• Stay informed on healthcare regulations affecting reimbursement.

Skills

Billing systems

Insurance verification

Prior authorization

Communication skills

Detail-oriented

Education

Bachelor's degree in related field

Job description

Customer Access and Reimbursement Specialist

Job Category: Revenue Cycle Management

Requisition Number: CUSTO002588

• Posted : October 29, 2026
• Full-Time
• Remote

Locations

Showing 1 location

Remote
United States

Description

JOB SUMMARY

The Customer Access and Reimbursement Specialistplaysa crucial role in ensuring seamless access to services and reimbursement for patients. This positionis responsible foroverseeing patient financialassistanceprograms, verification of benefits, prior authorization, and managing out-of-pocket balances.

KEY RESPONSIBILITIES

• Coordinate efforts to ensuretimelyaccess to services for patients by verifying insurance coverage and benefits.
• Assistpatients in navigating the reimbursement process, including providing information on out-of-pocket costs and financialassistanceprograms.
• Manage prior authorization requirements by liaising with healthcare providers, payers, and patients to obtain necessary approvals.
• Review and reconcile patient balances, ensuringaccuratebilling and collectionsprocesses.
• Provide support and guidance to patients on financialassistanceprograms and payment options.
• Collaborate with internal departments, including billing, clinical, and customer experience teams, to resolve patient inquiries and concerns.
• Maintainaccurateand up-to-date documentation of patient interactions and financialassistanceapplications.
• Stay informed about changes in healthcare regulations and reimbursement policies that mayimpactpatient access and reimbursement.
• Participate in continuous process improvement initiatives to enhance efficiency and effectiveness in patient access and reimbursement processes.
• Adhere to all relevant compliance and privacy regulations in handling patient information and financial data.
• Perform other job-related duties as assigned.

QUALIFICATIONS

Required

• Bachelor's degree in a related field.
• Minimum of 2 years of experience in a healthcare setting, preferably in revenue cycle operations or patient access.

COMPETENCIES

• Proficiencyin navigating andutilizinghealthcare billing systems.
• Strong understanding of insurance verification, prior authorization, and reimbursement processes.
• Excellent communication skills with the ability to interact effectively with patients, payers, and internal stakeholders.
• Detail-oriented with strong organizational and time management skills.
• Ability to work independently and collaboratively in a fast-paced environment.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

• Frequently required to sit.
• Frequently required to stand.
• Frequently required toutilizehand and finger dexterity.
• Frequently required to talk or hear.

EEO Statement:

Baylor Genetics is proud to be an equal opportunity employer committed to fostering an inclusive and diverse workplace. We welcome and encourage applicants from all backgrounds to apply. We do not discriminateon the basis ofrace, color, religion, national origin, sex, sexual orientation, gender identity, age, veteran status, disability, genetic information, pregnancy, childbirth, or any other status protected by applicable federal, state, or local law. If you needan accommodationduring the application process, please contact our Human Resources team.

Qualifications

Education

Preferred

Bachelors or better in Business Administration.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.