Senior Patient Access Specialist

Proforma Health; Greenville (SC); On-site; USD 45,000 - 80,000; Full time

Job summary

Proforma Health is seeking a leader to manage complex front-end revenue cycle activities for hospital and physician group partners. You will oversee patient access registration, eligibility verification, and prior authorizations, while delivering compassionate financial counseling and ensuring timely reimbursement.

Collaborate with clinical, billing, and analytics teams to streamline processes, mentor junior staff, and uphold a patient-centered financial experience that supports high-quality

Qualifications

• Strong knowledge of front-end revenue cycle workflows.
• Excellent accuracy and problem-solving.
• Effective communication and empathy.

Responsibilities

• Lead patient access workflows and ensure accurate registration.
• Verify benefits and eligibility and confirm coverage details.
• Obtain prior authorizations to support appropriate care.
• Provide compassionate financial counseling and explain coverage and payment options.
• Resolve patient access and authorization issues to minimize disruptions.
• Partner with clinical, billing, and analytics teams to improve processes.
• Mentor and support junior staff.
• Maintain a patient-centered, mission-driven financial experience.

Skills

Front-end revenue cycle

Leadership/mentoring

Communication empathy

Cross-team coordination

Attention to accuracy

Job description

Lead complex front-end revenue cycle activities for hospital and physician group partners, ensuring accurate patient access and timely reimbursement.

• Perform patient registration with high accuracy
• Verify benefits and eligibility and confirm coverage details
• Obtain prior authorizations to support appropriate care
• Provide compassionate financial counseling and explain coverage, balances, and payment options
• Resolve patient access and authorization issues to minimize disruptions
• Partner with clinical, billing, and analytics teams to improve processes
• Mentor and support junior staff
• Maintain a patient-centered, mission-driven financial experience

Key qualifications/skills: strong knowledge of front-end revenue cycle workflows, excellent accuracy and problem-solving, effective communication and empathy, ability to coordinate across teams, and leadership/mentoring capability.