Remote Patient Access & Prior Authorization Specialist

Marshfield Clinic Health System; United States; On-site; USD 24,796 - 38,572; Part time

Job summary

Marshfield Clinic Health System is seeking a part-time Patient Access Specialist to support a growing healthcare team remotely. The role focuses on insurance eligibility reviews, prior authorization, and payer communications to ensure timely patient access to services.

You will review eligibility, collect documentation, collaborate with clinicians and payers, and help appeals for denied services while maintaining compliance with medical necessity criteria.

Qualifications

• Must have strong understanding of medical terminology.
• Experience with insurance processes and prior authorization is required.
• Proficient with office equipment and computer systems.

Responsibilities

• Review and validate insurance eligibility and prior authorization for services.
• Collect documentation and communicate with payers and clinicians to prioritize requests.
• Collaborate with teams to ensure medical necessity criteria and manage denials/appeals.

Skills

Medical terminology

Insurance processing

Office software

Education

High school diploma or equivalent

Post-secondary education helpful

Job description

Marshfield Clinic Health System is seeking a part-time Patient Access Specialist to support a growing healthcare team remotely. The role focuses on insurance eligibility reviews, prior authorization, and payer communications to ensure timely patient access to services.

You will review eligibility, collect documentation, collaborate with clinicians and payers, and help appeals for denied services while maintaining compliance with medical necessity criteria.