Patient Access Specialist (Fixed-Term Contract)

RemoteLeads; United States; Remote; USD 45,000 - 65,000; Full time

Job summary

RemoteLeads is seeking a healthcare customer access specialist to manage a high volume of patient calls with professionalism and empathy. You will verify eligibility, explain benefits, and discuss estimated costs while documenting interactions in the billing system.

Collaborating with Revenue Cycle and Customer Success teams, you will administer financial assistance programs, handle prior authorizations, and support process improvements.

Qualifications

• Associate degree required.
• 1–3 years of healthcare or patient access experience preferred.
• Experience in high-volume call centers or patient-facing healthcare environments is strongly preferred.
• Knowledge of medical benefits, COB, prior authorization workflows, and payer requirements for Medicare/Medicaid/commercial plans.

Responsibilities

• Manage a high volume of inbound and outbound patient calls with professionalism and empathy.
• Verify patient eligibility and insurance benefits.
• Educate patients about coverage, costs, and financial assistance options.
• Submit and manage prior authorization cases and follow up to resolution.
• Document patient interactions in the billing system.
• Collaborate with Revenue Cycle and Customer Success teams.
• Support process improvement initiatives.

Skills

Customer focus

Communication

Problem solving

Organization

Spanish (preferred)

Education

Associate's degree

Job description

Description:

• Manage a high volume of inbound and outbound patient calls with professionalism and empathy.
• Verify patient eligibility and insurance benefits using online tools or by contacting insurers directly.
• Educate patients about insurance coverage, estimated out-of-pocket costs, and financial assistance options.
• Administer financial assistance programs.
• Submit and manage prior authorization cases and follow up to resolution.
• Accurately document patient interactions and follow-up activities in the billing system.
• Obtain and manage required documentation while collaborating with Revenue Cycle and Customer Success teams.
• Build positive relationships with patients and internal stakeholders to resolve issues efficiently.
• Support special projects and process improvement initiatives as needed.

Requirements:

• Associate's degree required.
• 1-3 years of relevant healthcare or patient access experience.
• Experience in a high-volume call center or patient-facing healthcare environment strongly preferred.
• Strong knowledge of medical benefits, insurance policies, coordination of benefits (COB), prior authorization workflows, and payer requirements for Medicare, Medicaid, and commercial plans.
• Customer-focused approach with the ability to remain calm and professional in high-pressure situations.
• Exceptional organizational, problem-solving, and communication skills.
• Ability to quickly learn new systems, tools, and processes.
• Experience in a startup environment is a plus.
• Fluency in Spanish is preferred.
• Must be authorized to work in the United States.