Hybrid Patient Access Specialist Authorization & Care

Socket.dev; New Providence (NJ); Hybrid; USD 42,000 - 54,000; Full time

Benefits offered by this job

Medical, dental, and vision package

401(k) plan with company match

Generous PTO and holidays

Life insurance

Job summary

PromptCare is seeking a Patient Access Specialist to manage the timely creation, submission, and follow-up of initial authorization requests to payers. The role involves collaborating with intake, clinical, and billing teams to gather required documentation and ensuring compliance with payer guidelines.

The position is full-time, hybrid (2 days in office, 3 days remote), and reports to the departmental supervisor or manager.

Qualifications

• High School Diploma or equivalent required.
• Experience in healthcare, respiratory or DME preferred.
• Strong knowledge of insurance authorization processes.
• Medical reimbursement background preferred.
• Proficient in Microsoft Office and healthcare systems like Brightree.

Responsibilities

• Collaborate with intake, clinical, and billing teams to gather required documentation.
• Maintain accurate records in Brightree and internal systems.
• Prepare, submit, and track authorization requests to payers promptly.
• Monitor statuses and proactively follow up to prevent delays in patient care.
• Ensure compliance with payer guidelines and company policies.
• Maintain regular contact with patients, insurance plans, physician offices, and respiratory therapists.

Skills

Communication skills

Problem-solving

Attention to detail

Multi-tasking

Healthcare experience

Insurance authorization

Brightree knowledge

Microsoft Office

Education

High School Diploma or equivalent

Tools

Brightree

MS Office

Job description

PromptCare is seeking a Patient Access Specialist to manage the timely creation, submission, and follow-up of initial authorization requests to payers. The role involves collaborating with intake, clinical, and billing teams to gather required documentation and ensuring compliance with payer guidelines.

The position is full-time, hybrid (2 days in office, 3 days remote), and reports to the departmental supervisor or manager.