Patient Access Concierge (Remote, US Time Zone) - Cerner EMR

Company Overview

Abax Health is focused on improving patient financial experiences through data-driven engagement. The company’s platform and services enable healthcare organizations to identify patients at financial risk, customize outreach efforts, and optimize patient access processes. Their mission is to ensure timely patient care by innovating patient access and financial clearance systems, reducing administrative burdens, uncovering new revenue streams, and enhancing outcomes for patients and health systems nationwide.

Role Summary

The Patient Access Concierge role involves independently performing a broad spectrum of patient access functions such as patient registration, insurance verification, appointment scheduling, and prior authorization acquisitions, with little supervision. The incumbent will serve as a resource for patients, providers, clients, and colleagues, adeptly resolving complex insurance and scheduling challenges while identifying workflow improvements and mentoring newer team members.

Key Responsibilities

• Collect, verify, and update patient demographic, insurance, and clinical data accurately.
• Review patient records ensuring completeness and resolve any discrepancies before scheduled care.
• Verify insurance coverage, benefits, referrals, and authorization requirements across various payers.
• Obtain and track prior authorizations and referrals, ensuring adherence to payer conditions.
• Independently address complex insurance eligibility, authorization, and coverage issues.
• Communicate authorization criteria, financial responsibilities, and coverage concerns effectively to patients, providers, and internal teams.
• Manage scheduling, rescheduling, and coordination of appointments following client and provider guidelines.
• Handle escalated inquiries from patients, providers, and clients, providing excellent customer service for complex issues.
• Develop and maintain collaborative relationships with provider offices, insurers, and internal departments to support prompt patient care.
• Ensure all documentation is accurate, complete, and timely within systems while maintaining compliance with HIPAA, client, payer, and organizational policies.
• Identify and correct documentation or workflow issues as needed.
• Meet or surpass productivity, quality, attendance, and service standards.
• Assist in onboarding and training new employees by sharing expertise and best practices.
• Recommend process improvements to enhance operational performance and adapt to evolving payer requirements and organizational priorities.
• Participate actively in departmental meetings, quality initiatives, and continuous improvement efforts.
• Perform additional relevant duties as assigned.

Qualifications

• High School Diploma or GED is mandatory.
• 1 to 4 years of experience in Patient Access, Medical Scheduling, Registration, or related healthcare roles.
• Proven ability to independently verify insurance eligibility, obtain prior authorizations, and manage appointment scheduling.
• Experience resolving moderately complex insurance and patient access matters with minimal supervision.
• Working experience with Cerner electronic medical record (EMR) system is essential.
• Familiarity with commercial insurance, Medicare, Medicaid, and managed care plans.
• Strong communication, customer service, organizational, and problem-solving skills.
• Proficiency in Microsoft Office and web-based healthcare applications.
• Ability to handle multiple priorities accurately and professionally.
• Capable of working autonomously in a remote setting with limited oversight.

Working Conditions

• This is a fully remote position based in the United States.
• Requires reliable high-speed internet and a quiet, private workspace that safeguards patient confidentiality.
• Involves prolonged periods of sitting at a computer and using a telephone or headset.
• High volume call handling including phone communication for up to eight hours daily.
• Regular typing and data entry across multiple software platforms.
• Frequent interactions with patients, providers, insurance companies, clients, and internal teams.
• Occasional overtime based on business demands may be required.

Additional Information

The job description outlines primary duties but is not exhaustive; responsibilities may change as business needs evolve.

Benefits

• Non-exempt FLSA status.
• Employer-sponsored medical, dental, and vision insurance.
• Health Savings Account contributions by employer.
• Employer-paid life, short-term and long-term disability, and accidental death & dismemberment insurance.
• Flexible time off policies and paid holidays.
• Employee referral bonus program.