Patient Access Specialist

Artera; United States; Remote; USD 55,000 - 65,000; Full time

Job summary

Artera, an innovative AI startup, seeks a Patient Access Specialist to enhance communication and guide patients through insurance processes. This role emphasizes organization and problem-solving skills to ensure a seamless experience as part of a supportive healthcare team. An associates degree and relevant experience in healthcare are necessary, along with a customer-focused approach. Join Artera to contribute to groundbreaking solutions that personalize cancer therapy.

Benefits

401k matching

Unlimited paid time off (PTO)

Qualifications

• 1-3 years of healthcare experience required.
• Knowledge of medical benefits, insurance policies, and prior authorization workflows.
• Fluency in Spanish is preferred.

Responsibilities

• Manage high volume of calls to verify patient insurance and eligibility.
• Educate patients on insurance coverage and financial options.
• Document all patient interactions accurately.

Skills

Organizational Skills

Problem Solving

Communication

Customer Service

Education

Associates Degree

Job description

About Us: Artera is an AI startup that develops medical artificial intelligence tests to personalize therapy for cancer patients. Artera is on a mission to personalize medical decisions for patients and physicians on a global scale.

The Patient Access Specialist ensures a positive experience for patients by managing communications, verifying insurance details, and providing education on payment options. This role involves accurate documentation, collaboration with internal teams, and proactive issue resolution, while contributing to broader initiatives and process improvements.

Essential Responsibilities:

• Manage a high volume of inbound and outbound calls with professionalism and courtesy.
• Verify patient eligibility and insurance benefits using online tools or by contacting insurers directly.
• Educate patients about their insurance coverage, out-of-pocket costs, and available options for financial assistance.
• Administer financial assistance programs.
• Submit and manage prior authorization cases, ensuring timely follow-up and resolution.
• Accurately document all interactions and follow-up activities in the billing system.
• Obtain and manage all necessary documentation, collaborating with internal revenue cycle and customer success teams.
• Build positive relationships with patients and stakeholders to resolve issues effectively.
• Support additional duties, special projects, or process improvement initiatives as needed.

Education and Experience Requirements:

• Associates degree required.
• 1-3 years experience relevant healthcare experience.
• Strong knowledge of medical benefits, insurance policies, coordination of benefits (COB), prior authorization workflows, and payer requirements for reimbursement from Medicare, Medicaid, and commercial insurances.
• Customer-focused approach with the ability to handle high-pressure situations.
• Exceptional organizational, problem-solving, and communication skills.
• Flexibility to adapt to new tools, processes, and team dynamics.
• Experience in a start-up environment is a plus.
• Fluency in Spanish is preferred.

$55,000 - $65,000 a year

Competitive and commensurate with experience, qualifications, and other factors to be discussed during the interview process. In addition to a competitive salary, we offer enticing benefits, including 401k matching, unlimited paid time off (PTO), and more.

Equal Employee Opportunity: At Artera, we value bringing together individuals from diverse backgrounds to develop new and innovative solutions for patients and physicians. As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, national origin, age, sex (including pregnancy), physical or mental disability, medical condition, genetic information gender identity or expression, sexual orientation, marital status, protected veteran status, or any other legally protected characteristic.