Patient Access Specialist

GenesisCare USA Inc.; United States; Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a Patient Access Specialist to enhance patient experiences through efficient eligibility verification and prior authorization processes. This role serves as the first point of contact for patients, ensuring they receive the necessary information and support regarding their insurance coverage. With a focus on collaboration across departments, you will play a vital role in streamlining patient access to care. Join a dedicated team committed to improving healthcare outcomes and delivering exceptional service to patients. If you are passionate about making a difference in the healthcare sector, this opportunity is perfect for you.

Qualifications

• Experience in healthcare administration or patient access is crucial.
• Proficiency in EHR systems and strong understanding of medical terminology.

Responsibilities

• Facilitate patient experience by verifying eligibility and obtaining authorizations.
• Coordinate with departments to ensure patient needs are met efficiently.

Skills

Healthcare Administration

Patient Access Coordination

Insurance Coordination

Communication Skills

Medical Terminology

Education

High School Diploma or Equivalent

Tools

Electronic Health Records (EHR)

Microsoft Office Suite

Job description

Patient Access Specialist page is loaded

Patient Access Specialist

Apply locations US-Remote time type Full time posted on Posted 26 Days Ago job requisition id R0021123

At GenesisCare we want to hear from people who are as passionate as we are about innovation and working together to drive better life outcomes for patients around the world.

Patient Access Specialist

Role Summary:

• This role's primary responsibility is to facilitate a seamless and efficient patient experience by ensuring accurate patient eligibility, obtaining prior authorizations, and maximizing patient benefits. This role will serve as the initial point of contact for patients, coordinating with various departments to ensure all necessary steps are taken to meet patient needs while adhering to healthcare organization policies and procedures.

Your Key Responsibilities:

• Utilize various databases and systems to verify patient insurance coverage and eligibility.
• Communicate with patients to obtain missing or updated insurance information.
• Review medical necessity requirements and insurance guidelines to determine the need for prior authorizations.
• Initiate and follow up on prior authorization requests with insurance companies, ensuring timely approvals.
• Collaborate with healthcare providers and office staff to gather necessary clinical documentation to support prior authorization requests.
• Educate patients on their insurance coverage, including copayments, deductibles, and out-of-pocket expenses.
• Evaluate patient benefits and assist in identifying resources to minimize financial barriers to care.
• Coordinate with clinical staff and departments to ensure necessary preparations are made for scheduled patient visits.
• Accurately enter patient information, insurance details, and authorization status into electronic health records (EHR) and billing systems.
• Maintain detailed records of prior authorization requests, approvals, denials, and appeals for tracking and reporting purposes.
• Other duties as assigned.

Minimum Qualifications:

• High school diploma or equivalent.
• Previous experience in healthcare administration, patient access, or insurance coordination.
• Proficiency in using electronic health records (EHR) systems and Microsoft Office Suite.
• Strong understanding of medical terminology, insurance policies, and healthcare regulations.

Preferred Qualifications:

• Prior experience in healthcare financial counseling and/or obtaining prior authorizations.

About GenesisCare:

An integrated oncology and multispecialty network in Florida and North Carolina providing care for more than 120,000 patients annually, GenesisCare U.S. offers community-based cancer care and other services at convenient locations. The company’s purpose is to redefine the care experience by improving patient outcomes, access and care delivery. With advanced technology and innovative treatment options, skilled physicians and support staff offer comprehensive and coordinated care in radiation oncology, urology, medical oncology, hematology, diagnostics, ENT and surgical oncology. For more information, visit https://www.genesiscareus.com

GenesisCare is an Equal Opportunity Employer that is committed to diversity and inclusion.

About Us

People centricity is at the heart of what we do, whether that person is a patient, a referring doctor, a partner or someone in our team. We aim to build a culture of care that is patient-focused and performance-driven. We are always improving, designing new and higher standards for clinical excellence and patient satisfaction. Across our network, we employ talented and passionate healthcare and business professionals to ensure we deliver on our patient promise. Join us at GenesisCare.