Patient Services Specialist

Converge Medical Technology, LLC.; Atlanta (GA); On-site; USD 63,038,976 - 74,500,608; Full time

Job summary

Converge Medical Technology, LLC is hiring a Patient Services Specialist to be the heart of our in-home, multidisciplinary program for veterans and injured workers. You will process authorizations and help patients access life-changing devices that restore mobility and hope.

Responsibilities include insurance verification, prior authorizations, serving as a liaison with insurers, and using Salesforce to improve efficiency.

Qualifications

• 1+ years of patient intake with insurance verification.
• 1-2 years of prior authorization experience.
• Workers’ Compensation claims experience.

Responsibilities

• Verify insurance benefits and prepare pre-authorization requests.
• Handle high volume calls and referrals from insurers, patients, and care teams.
• Use Salesforce and internal systems to complete daily tasks per SOP.
• Escalate urgent or complex issues to Intake Manager for timely resolution.
• Perform other duties as assigned.

Skills

Insurance verification

Prior authorizations

Patient intake

Communication

Job description

Exciting Patient Services Specialist Opportunity! Be the critical link between patients and life-changing care—help veterans and injured workers access the support they need to heal and move forward.

At Converge Medical Technology, we provide game-changing technology with empowering personalized patient services as part of our in-home, multidisciplinary programs for chronic low back and neck pain. Our passion is to change people's lives. The genuine care and healing of our patients is our highest mission, and our goal is to help them get back to doing the things they love.

Our Patient Services Specialists are the heart of Converge, processing physician orders for workers’ compensation and veteran patients through our verification and authorization process. Their work helps veterans and injured workers access life-changing medical devices that restore mobility and hope. As a Patient Services Specialist, every authorization you process directly impacts a patient’s journey from pain to recovery.

Details

• Location: Remote from Atlanta, GA
• Pay Range: $22-$26 per hour

Key Responsibilities

• Insurance Verification & Authorization: Verifying insurance benefits and medical documentation for submitting pre-authorization requests to adjusters. Facilitate the processing of prior authorizations, appeals, and insurance updates for prescriptions.
• Serve as a Liaison: Handle a high volume of inbound and outbound calls and manage and respond to incoming referrals from insurance companies, patients, sales representatives and the patient care coordinator team.
• Improve Efficiency: Utilize Salesforce and other internal systems to complete daily tasks in alignment with standard operating procedures. Provide timely, accurate information and guidance to sales representatives, including payer-specific coverage criteria.
• Research & Response: Examine required information using available resources to support referral processing and case updates. Escalate urgent or complex issues to the Intake Manager to ensure timely resolution.
• Perform other duties as assigned.

Qualifications

• 1+ years of patient intake experience with insurance verification.
• 1-2 years of prior authorization experience in a clinical setting.
• Workers’ Compensation claims experience

Why choose Converge Medical Technology? Our mission is Fun, Family, and Freedom. We encourage our team members to have fun at work, prioritize their family and work/ life balance, and have the freedom to improve how we do things. We offer medical, dental, and vision insurance, short- & long-term disability, FSA/ HSA options, 401k with matching, and so many more. Come and join a company that values its team as much as its growth!