Remote Patient Access Specialist

Starting at $17/hour, paid weekly 

8 am - 5 pm, Monday - Friday 

Remote (high speed internet required)

Equipment is provided

Provides advanced services to patients, providers and caregivers. Services could include but not limited to: billing and coding support, claims assistance, tracking and submission, prior authorization assistance and tracking, coordination of benefits, benefit verification result call, welcome calls, advanced alternate coverage research, appeals/denials and intakes and reports adverse events as directed.

Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly

Establishes themselves as regional experts regarding payer trends and reports any reimbursement trends/delays to management team (e.g. billing denials, claim denials, pricing errors, payments, etc.)

Processes any necessary correspondence

Coordinates with internal and external service providers to ensure services are performed in accordance with program policy and within expected service level agreements (SLA)

Maintains confidentiality in regards to all patient sensitive information

Works on problems of moderate scope where analysis of data requires a review of a variety of factors

Exercises judgment within defined standard operating procedures to determine appropriate action

Performs related duties as assigned, could include well defined services generally performed by other program representatives (e.g. benefit verifications, PAP determinations)

Expected to perform work in accordance with defined standard operating procedures, management will monitor queues and provide active feedback as required

High school diploma or GED required

Requires broad training in fields such as business administration, accounting, computer sciences, medical billing and coding, customer service or similar vocations generally obtained through completion of a two-year associate’s degree program, technical vocational training, or equivalent combination of experience and education

Four years (4)+ years directly related and progressively responsible experience required

A two-year degree can be used in lieu of 2 years of the experience requirement, a four-year degree in lieu of 4 years of experience

Ability to communicate effectively both orally and in writing

Ability to build productive internal/external working relationships

Advanced interpersonal skills

Strong mathematical skills

Basic analytical skills

Advanced organizational skills and attention to detail

General knowledge of accounting principles, pharmacy operations, and medical claims

Acceptable use of medical industry vernacular

General knowledge of health care billing is preferred

Ability to proficiently use Microsoft Excel, Outlook and Word

Developing professional expertise; applies company policies and procedures to resolve a variety of issues

Sedentary physical activity requires reaching, sifting, lifting, finger dexterity, grasping, feeling, repetitive motions, talking and hearing

Visual requirement is for close vision, distance vision, peripheral vision and ability to adjust focus

75% or more time is spent looking directly at a computer

Ability to deal with stressful situations as they arise