Patient Access Specialist - Part Time

Coloplast A/S; Arlington (VA); On-site; USD 25,000 - 34,000; Part time

Job summary

Kerecis seeks a Patient Access Specialist to verify insurance benefits and authorization, on-site at our corporate office. This part-time role supports patients’ access to care and reports to the Senior Patient Access Manager in the Customer Operations Department.

The role requires accuracy, strong communication, and knowledge of medical terminology and insurance processes to timely deliver verification results to providers.

Qualifications

• Highschool diploma or equivalent required.
• Strong verbal and written communication skills.
• Passionate about providing patients with access to care.
• Ability to work on a team aiming for collective success.
• Ability to work independently and problem solve.
• Knowledge of medical terminology.
• Working understanding of medical insurance.
• 1+ year(s) working with prior authorization/insurance verifications.

Responsibilities

• Protect PHI at all stages of benefit verification.
• Verify medical benefits for patients seeking Kerecis treatment.
• Verify authorization requirements and initiate prior authorizations.
• Prepare and send verification results to healthcare providers on deadline.
• Maintain high quality to facilitate access to treatment for patients.
• Comply with laws, Advamed Code of Ethics, and company policies.
• Other duties as assigned.

Skills

Strong verbal and written

Independent problem solving

Team player

Access to care

Detail oriented

Medical terminology

Medical insurance knowledge

Prior authorization experience

Education

Highschool diploma or equivalent

Job description

Select how often (in days) to receive an alert:

The Patient Access Specialist is responsible for performing detailed insurance benefit verifications while maintaining effective communication and attention to detail. This role is a part of the Customer Operations Department.

The Patient Access Specialist is based on-site in Kerecis Corporate office. The role reports to the Senior Patient Access Manager. This is a part-time role, working up to 28 hours a week.

Major Areas of Accountability

• Protect confidential patient health information (PHI) at all stages of the verification of benefits process
• Verify medical benefits for patients seeking treatment with Kerecis products including detailed review of patient responsibility for Kerecis treatment
• Verify authorization requirements and initiate prior authorizations while considering payer coverage criteria information
• Prepare and send insurance benefit verification results to healthcare providers on deadline
• Maintain an elevated quality of work to facilitate improved access of treatment for patients in need
• Kerecis employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies.
• Other job duties as assigned

Basic Qualifications

• Highschool diploma or equivalent required
• Strong verbal and written communication skills
• Passionate about providing patients with access to care
• Ability to work on a team aiming for collective success
• Ability to work independently and problem solve
• Knowledge of medical terminology
• Working understanding of medical insurance

Preferred Qualifications

• 1+ year(s) working with prior authorization/insurance verifications

This job description is intended to set forth the core functions required for this position and describe the general nature of the work to be performed. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Job duties, responsibilities and activities may change or be supplemented at any time as necessary. Kerecis is an Equal Opportunity Employer.

Nearest Major Market: Arlington Virginia
Nearest Secondary Market: Washington DC