Patient Access Specialist

Role Overview

This opportunity is with an employer in the patient support services space. The role focuses on helping patients navigate access to care, while partnering closely with providers and other stakeholders. It is a remote position that requires a compliant home workspace. The organization highlights that it is not a staffing agency and does not directly employ candidates for this role; instead, it identifies and verifies openings sourced from care providers.

Why This Role May Appeal to You

• Compensation can reach up to $71,000 per year.
• There is potential for professional progression within the organization.
• You can work from home, provided your setup meets compliance expectations.
• The environment is described as collaborative and supportive.
• The position offers a chance to contribute meaningfully to patient access and care coordination.
• A broad benefits package is available, including health and welfare options.

Key Responsibilities

• Act as the main contact for patients, providers, and other relevant stakeholders.
• Review insurance benefits and confirm coverage details.
• Assist with prior authorization requests and appeals.
• Provide continued support to patients, including adherence coordination.
• Work in line with HIPAA rules and other regulatory standards.

Required Qualifications

• A high school diploma or an equivalent credential is required.
• You should have 3 to 5+ years of experience in medical billing, reimbursement, or insurance verification.
• A strong grasp of payer coverage and reimbursement processes, including both medical and pharmacy benefits, is essential.
• Prior experience in a contact center or patient support setting is needed.
• Excellent written and spoken communication skills are required.

Preferred Background

• An associate degree or bachelor’s degree is preferred.
• Experience in a Patient Support Services hub, especially for rare diseases, is advantageous.
• Background in healthcare or pharmaceutical customer service is a plus.

Additional Information

The employer emphasizes equal opportunity hiring and candidate privacy. The role is presented as part of a fair, transparent, and secure recruitment process. The hiring partner is not acting as the employer of record for this position. No fixed number of openings, application deadline, start date, or duration was provided.