Remote Therapy Access Specialist

Cala Health, Inc.; Northern (KY); Hybrid; USD 30,000 - 47,000; Part time

Job summary

Cala Health, Inc. is seeking a Therapy Access Specialist to provide operational support to the Therapy Access organization. You will contact patients and healthcare providers for documentation, verify benefits, secure authorizations and handle referrals in a 1099 contractor role.

Remote position from the United States; you will use payor sites like Availity, NaviNet and Availity. This role requires strong communication, confidentiality, and meticulous data entry in CRM systems to ensure seamless

Qualifications

• 3 to 5 years of medical insurance experience, preferably at a medical company.
• Bachelor’s degree strongly preferred; high school diploma or equivalent required.
• Experience with insurance benefits and eligibility.
• Strong computer skills including CRM (Salesforce.com), payor sites such as NaviNet and Availity.
• Strong organizational skills and attention to detail.

Responsibilities

• Verify active health insurance coverage via phone with payor representatives.
• Use payor websites (Availity, NaviNet) to verify eligibility and submit prior authorizations.
• Communicate clearly in oral and written form; maintain confidentiality.
• Document interactions in CRM per QA, regulatory, and HIPAA guidelines.
• Collaborate with Sales Support to transfer benefit verification and authorization data.
• Data entry of new patient referrals into CRM.
• Contact new patient referrals for insurance confirmation.
• Provide telephone and department support as needed.
• Perform other related clerical duties as assigned.

Skills

Medical insurance experience

CRM (Salesforce)

Attention to detail

Strong communication

Confidentiality

Education

Bachelor's degree

High school diploma or equivalent

Tools

Salesforce.com

NaviNet

Availity

Job description

Cala Health, Inc. is seeking a Therapy Access Specialist to provide operational support to the Therapy Access organization. You will contact patients and healthcare providers for documentation, verify benefits, secure authorizations and handle referrals in a 1099 contractor role.

Remote position from the United States; you will use payor sites like Availity, NaviNet and Availity. This role requires strong communication, confidentiality, and meticulous data entry in CRM systems to ensure seamless