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Patient Access Specialist
ExpressablePatient Access Specialist providing advanced support across patient inquiries in a remote healthcare setting. Manage insurance workflows while ensuring client care and documentation accuracy.
About the role
Key responsibilities & impact- Deliver an outstanding, responsive customer experience by supporting patient, family, referral source, and insurance inquiries across phone, email, text, and chat.
- Manage high-complexity insurance workflows, including secondary coverage, nuanced benefit structures, and multi-step authorization requirements.
- Manage inbound support requests and conduct proactive outreach to collect required documentation, close gaps in care, resolve concerns, schedule client appointments and improve overall client outcomes.
- Verify insurance benefits with accuracy, determine coverage/benefit limits, and ensure timely financial clearance prior to services.
- Prepare, submit, and track prior authorizations using appropriate systems; communicate authorization status, issues, and requirements to clinicians, clients, and internal teams.
- Support billing and financial inquiries by explaining charges, EOBs, deductibles, copays, payment plans, and financial policies; collect and process payments securely.
- Partner closely with clinical, scheduling, and operations teams to ensure accurate treatment plan alignment, session readiness, and continuity of care.
- Respond to internal inquiries about the status of in-process cases in a timely manner.
- Partner with the Revenue Integrity and Payer Compliance teams to resolve front-end rejections and registration related denials which includes collecting and updating patient billing information to ensure accurate submission/resubmission of claims.
- Maintain exemplary documentation quality in CRM/EHR systems, ensuring compliance with HIPAA, PCI, payer rules, and internal policies.
- Identify recurring issues or inefficiencies and recommend updates to workflows, job aids, or scripts; support pilots and process-improvement initiatives.
- Assist with onboarding and training of new team members by modeling strong communication, documentation, and case management practices.
- Manage an independent caseload, consistently meeting SLAs, quality standards, and follow-through expectations across all assigned work.
Requirements
What you’ll need- High school diploma or GED required.
- Associate’s degree or coursework in healthcare administration, business, or a related field preferred.
- 2–3+ years of experience in healthcare operations, patient access, insurance verification, prior authorization, medical billing, or revenue cycle support.
- Demonstrated success meeting SLAs and quality metrics in a high-volume environment.
- Experience resolving moderately complex payer issues, denied claims, or multi-step client cases.
- Prior experience in telehealth or multi-state healthcare environments preferred.
- Prior experience working in a fast-paced environment with measurable performance metrics (e.g., SLAs, quality standards).
- Proficiency with EHR/CRM systems and payer portals; ability to navigate multiple systems simultaneously.
- Strong data-entry accuracy and documentation discipline.
- Working knowledge of insurance terminology (EOBs, COB, medical necessity, visit limits, tiered benefits, etc.).
- Strong written and verbal communication skills for both client-facing and internal collaboration.
Benefits
Comp & perks- Exceptional paid time off policies that encourage and support life balance, including a winter break.
- 401k matching to ensure our staff have what they need to enjoy their retirement
- Health insurance options that ensure well being for the whole person and their family
- Company paid life, short-term disability, and long-term disability coverage
- Remote work environment that strives for connectivity through professional collaboration and personal connections
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Insurance TerminologyMedical BillingRevenue Cycle SupportData Entry AccuracyDocumentation Discipline
Soft Skills
Customer ServiceProblem SolvingCollaborationTraining and Onboarding