Patient Access & Authorization Specialist

Aultman Health Foundation; Canton (OH); On-site; USD 25,000 - 30,000; Full time

Job summary

Aultman Health Foundation is seeking a Patient Access Specialist to serve as a liaison between provider practices and patients. You will coordinate scheduling, prior authorizations for testing, imaging, and referrals to ensure timely access to services.

The role requires knowledge of ICD-10/CPT codes, insurance rules, and the ability to manage documentation and communicate effectively with patients and clinical staff. 8:00am–5:00pm with potential overtime may apply.

Qualifications

• Excellent customer service is required.
• Strong verbal and written communication skills.
• Ability to work independently and prioritize.
• Ability to build effective relationships with patients and staff.
• Comfort working with diverse patient and coworker populations.
• Proficient data entry, retrieval and report generation.

Responsibilities

• Coordinate and process all patient referrals for diagnostic testing and specialty services.
• Verify insurance eligibility and benefits; update patient information as needed.
• Identify referral and authorization requirements from insurance plans and workflows.
• Prepare and assemble documentation to support medical necessity for authorization.
• Enter referral authorizations into the system and track reports with timely follow-up.
• Monitor referrals where patients did not follow through and document responses.
• Review referral appointment details with patients and communicate expectations.
• Complete referrals and prior authorizations per guidelines and workflows.
• Communicate clearly with patients, physicians, staff and manager to prevent denials or delays.
• Schedule patients per provider referral for testing, therapy, or specialty appointments at network facilities.
• Assemble and fax pertinent documents to specialists; provide referral letters with directions.
• Inform patients of test dates, times and any preparations; verify orders and fax to facility.

Skills

Customer service

Communication skills

Independent work

Relationship building

Diversity awareness

Computer skills

Job description

Aultman Health Foundation is seeking a Patient Access Specialist to serve as a liaison between provider practices and patients. You will coordinate scheduling, prior authorizations for testing, imaging, and referrals to ensure timely access to services.

The role requires knowledge of ICD-10/CPT codes, insurance rules, and the ability to manage documentation and communicate effectively with patients and clinical staff. 8:00am–5:00pm with potential overtime may apply.