Patient Access Manager: Claims, PA, Reimbursement & Appeals

PRO-Spectus; United States; Remote; USD 60,000 - 75,000; Full time

Job summary

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

Qualifications

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

Responsibilities

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

Skills

Prior authorization

Appeals

Medical coding

Payment processing

Clear communication

Independent work

Adaptability

Job description

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