Patient Access Specialist: Scheduling and Billing

Talentify; Lexington (KY); On-site; USD 36,000 - 54,000; Full time

Job summary

Talentify seeks a Patient Access Coordinator to manage referrals, verify insurance eligibility, and pre-register patients to prevent denials and delays.

The role includes obtaining authorizations, communicating out-of-pocket estimates, and supporting financial counseling in a fast-paced healthcare environment. You will handle multiple intake channels and collaborate with care teams to streamline patient care.

Qualifications

• High school diploma or GED required.
• Several years of experience in patient access, revenue cycle management, or related healthcare administration roles preferred.
• Experience in scheduling, authorizations, and financial counseling preferred.
• Strong understanding of healthcare regulations and compliance requirements.
• Excellent communication, interpersonal, and customer service skills.
• Experience working as a Medical Assistant in a physician practice performing both clinical and administrative duties preferred.

Responsibilities

• Coordinates and processes referral requests, guiding the patient and the referring provider’s office through the intake and scheduling process.
• Receives referrals via multiple delivery methods, including email, fax, telephone, and EMR interface.
• Schedules patient appointments, including diagnostic tests, procedures, surgeries, physician consultations, post-op/follow-ups, and other ancillary tests.
• Responsible for pre-registering patient appointments by calling insurance companies or using payer portals to obtain and document eligibility and benefits, coverage assignments, and patient financial responsibility.
• Calls patients before appointments and educates them on out-of-pocket expectations.
• Provides procedure estimates and attempts to collect prepayments and outstanding past-due balances.
• Screen patients for the ARH Financial Assistance Program or determines eligibility for referral to other funding resources.
• Performs all tasks to support and obtain pre-authorization from insurance companies, including: Submitting pre-certification requests and clinical documentation via online portals, phone, and fax with correct CPT and ICD coding; Researching payer medical policy requirements and treatment authorization guidelines; Following up on outstanding authorization requests and medical documentation requests promptly; Communicating with medical/clinical staff and patients regarding authorization status and outcomes; Communicating with ordering providers regarding denied or disputed determinations; Contacts patients and physician offices for additional information and follow-up.
• Responsible for clearing assigned task lists and workloads within EMR systems daily while maintaining quality and productivity standards to ensure the highest level of service and optimal patient care.
• Adheres to all department and organization policies and procedures and state and federal laws and requirements.
• Performs other duties as assigned.

Skills

Patient access

Insurance eligibility

Pre-registration

Authorization processing

Financial counseling

EMR navigation

Communication

Multitasking

Healthcare compliance

Scheduling

Education

High school diploma or GED

Tools

EMR systems

Job description

Talentify seeks a Patient Access Coordinator to manage referrals, verify insurance eligibility, and pre-register patients to prevent denials and delays.

The role includes obtaining authorizations, communicating out-of-pocket estimates, and supporting financial counseling in a fast-paced healthcare environment. You will handle multiple intake channels and collaborate with care teams to streamline patient care.