Patient Access & Scheduling Specialist

Aultman Health Foundation; Canton (OH); On-site; USD 38,000 - 52,000; Full time

Job summary

Aultman Health Foundation is seeking a Patient Access Specialist to serve as the liaison between provider practices and patients for scheduling, referrals, and prior authorizations. You will help ensure timely access to diagnostic testing and specialty services while maintaining patient confidentiality and high-quality service.

You will verify insurance, manage referrals, and coordinate with physicians, laboratories, and imaging centers to support smooth workflow and optimal patient outcomes.

Qualifications

• Minimum of one year of physician office experience.
• Knowledge of medical terminology.
• Knowledge of ICD-10 and CPT codes for authorizations.
• Knowledge of insurance plans and their rules.

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 plans using online resources.
• Prepare and document medical necessity for authorizations.
• Enter referrals and authorizations into the system; track reports and follow‑ups.
• Track patients not following through with referrals and document responses.
• Inform patients about referral appointments and expectations.
• Complete referrals and prior authorizations in a timely manner.
• Communicate with patients, physicians, office staff, and manager to resolve issues.
• Schedule patients per provider referral order; coordinate with facilities.
• Assemble notes, labs, and send referrals to specialists; provide patients with letters and directions.
• Ensure test orders are transmitted and orders are placed if missing.
• Document referral information in patient chart; notify pre-authorizations when needed.
• Demonstrate system knowledge and generate reports; manage referrals and authorizations.
• Use electronic tools to organize daily work and report issues to supervision.
• Assist Reimbursement Department to limit denials and ensure proper reimbursement.
• Meet department deadlines and maintain confidentiality and safety practices.

Skills

Customer service

Verbal & written communication

Independent & prioritization

Staff relationships

Diversity & teamwork

Computer proficiency

Job description

Aultman Health Foundation is seeking a Patient Access Specialist to serve as the liaison between provider practices and patients for scheduling, referrals, and prior authorizations. You will help ensure timely access to diagnostic testing and specialty services while maintaining patient confidentiality and high-quality service.

You will verify insurance, manage referrals, and coordinate with physicians, laboratories, and imaging centers to support smooth workflow and optimal patient outcomes.