Patient Access & Reimbursement Specialist

pria; Farmington (CT); On-site; USD 42,000 - 62,000; Full time

Job summary

pria is seeking a Patient Access Specialist to support reimbursement needs and help patients access our technologies. The role covers benefits verification, prior authorizations, and pre-/post-service appeals.

You will manage a caseload, enter data, communicate with physician offices, and maintain Salesforce records per SOPs. Requirements: high school diploma (associate degree preferred), 2 years in healthcare, knowledge of medical terminology, and strong communication and organization.

Qualifications

• High school diploma or equivalent; Associate’s degree preferred.
• Minimum of 2 years of experience in a healthcare setting, preferably in authorization or billing.
• Understanding of medical terminology and insurance processes.
• Excellent communication and organizational skills.
• Ability to work independently and handle multiple tasks.

Responsibilities

• Manage a caseload for an assigned program.
• Data entry and review of new patient cases into system database.
• Communicate with physician offices and their staff regularly.
• Maintain accurate Salesforce records to ensure reporting to clients.
• Complete full patient access process including benefits verification, prior authorization, and appeals.
• Ensure compliance with regulatory and company policies.

Skills

Communication

Organization

Data entry

Independent worker

Healthcare terminology

Education

High school diploma or equivalent

Associate’s degree preferred

Tools

Salesforce

Job description

pria is seeking a Patient Access Specialist to support reimbursement needs and help patients access our technologies. The role covers benefits verification, prior authorizations, and pre-/post-service appeals.

You will manage a caseload, enter data, communicate with physician offices, and maintain Salesforce records per SOPs. Requirements: high school diploma (associate degree preferred), 2 years in healthcare, knowledge of medical terminology, and strong communication and organization.