Patient Services Specialist

Converge Medical Technology; Austin (TX); On-site; Full time

Job summary

A leading company in innovative medical technology seeks a Patient Assistance Specialist in Austin, TX. This entry-level role involves managing claims processing, patient account verification, and assisting patients with financial aid setup. Ideal candidates will have customer service experience and familiarity with insurance verification.

Benefits

Medical Insurance

Vision Insurance

401(k)

Qualifications

• At least 1 year of customer service experience.
• 1-2 years of prior authorization experience in DME or clinical settings.

Responsibilities

• Coordinate administrative aspects of patient care related to DME.
• Verify insurance benefits and determine coverage limits.
• Communicate with patients about financial qualifications and updates.

Skills

Customer Service

Insurance Verification

Communication

Tools

Salesforce

Job description

Job Title: Patient Assistance Specialist

Location: In Person in Austin, TX

Pay Range: $21.00/hr - $23.00/hr

Seniority level: Entry level

Employment type: Full-time

Job function: Administrative, Accounting/Auditing, Customer Service

Industries: Technology, Information and Media

Overview

Exciting Patient Assistance Specialist opportunity at Converge Medical Technology! We deliver innovative technology and personalized patient services within our supervised physical therapy program. The specialist manages claims processing, patient account verification, authorization, billing, and follow-up for the commercial line of business. Responsibilities also include communicating benefits to patients and assisting with financial aid setup.

Key Responsibilities

1. Coordinate administrative aspects of patient care related to DME for patients with commercial insurance.
2. Verify insurance benefits, determine coverage limits, and gather necessary documentation for authorization.
3. Communicate with patients about deductibles, coinsurance, copays, financial qualification, insurance benefits, and updates.
4. Manage referrals, inquiries, and maintain accurate records of follow-up activities.
5. Utilize Salesforce and other systems to complete daily tasks according to SOPs.
6. Handle high volumes of calls, acting as liaison between insurance companies, patients, and sales reps.
7. Process prior authorizations, appeals, and insurance updates.
8. Provide guidance and information to sales representatives regarding coverage criteria.
9. Research information to support referrals and case updates.
10. Escalate complex issues to the Intake Manager for resolution.
11. Perform additional duties as assigned.

Qualifications

• At least 1 year of customer service experience, preferably with insurance verification or DME.
• 1-2 years of prior authorization experience in DME or clinical settings.
• Experience with Commercial insurance plans.
• Ability to perform basic calculations involving discounts, interest, and percentages.
• Ability to apply basic algebra and geometry concepts.

Additional Information

Referrals can double your chances of interview success. Benefits may include medical insurance, vision insurance, and 401(k).