Hybrid Patient Access & Authorization Specialist

PROMPTCARE COMPANIES INC; New Providence (NJ); Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical coverage

401k match

Generous PTO

Life insurance

Employee assistance program

Disability insurance

FSA/HSA

Job summary

PromptCare Companies Inc. in New Providence, NJ, seeks a Patient Access Specialist to manage initial authorization requests and ensure timely patient access to needed services.

This full-time role is 40 hours weekly, with a hybrid schedule (2 days in office, 3 days remote) and standard hours Monday–Friday 8:30am–5pm. You will collaborate with intake, clinical, and billing teams, utilize Brightree, and maintain accurate records to support prompt payer submissions and approvals in a fast-paced

Qualifications

• Experience in healthcare, preferably respiratory or DME.
• Knowledge of insurance authorization processes.
• Medical reimbursement background preferred.
• Experience with Brightree or similar healthcare management systems required.

Responsibilities

• Collaborate with intake, clinical, and billing teams to gather required documentation.
• Prepare, submit, and track authorization requests to insurance payers in a timely and accurate manner.
• Monitor authorization statuses and follow up to prevent delays in patient care.
• Maintain accurate and up-to-date records in Brightree and other internal systems.
• Regular contact with patients, insurance plans, physician offices, respiratory therapists and other personnel to ensure timely turnaround and approval.
• Escalate problem accounts and ensure resolution.
• Understand payer requirements to ensure authorization approval is granted.
• Other duties as assigned.

Skills

Healthcare experience

Detail oriented

Multi-tasking

Strong communication

Problem solving

Education

High School Diploma

Tools

Brightree

Microsoft Office

Job description

PromptCare Companies Inc. in New Providence, NJ, seeks a Patient Access Specialist to manage initial authorization requests and ensure timely patient access to needed services.

This full-time role is 40 hours weekly, with a hybrid schedule (2 days in office, 3 days remote) and standard hours Monday–Friday 8:30am–5pm. You will collaborate with intake, clinical, and billing teams, utilize Brightree, and maintain accurate records to support prompt payer submissions and approvals in a fast-paced