Shift Timings: 8:00 AM - 8:00 PM EST

Duration: 3 months

A Patient Access Specialist helps patients navigate their insurance benefits, ensuring they receive the necessary medical services. This includes entering data, verifying insurance eligibility, conducting benefit investigations, handling prior authorizations, and maintaining communication with healthcare providers. The role is remote and lasts 3-6 months, with work hours from 8:00 am to 8:00 pm EST.

Enter data from enrolment forms into the CRM and check payer and coverage details electronically.

Benefit Investigations: Determine insurance plan coverage, restrictions, and cost-share information.

Prior Authorizations: Identify and handle coverage restrictions, collect prior authorization (PA) requirements, and follow up with insurance companies.

Provider Outreach: Contact healthcare providers to gather necessary information for evaluating services and determining eligibility for free drug assistance.

Advanced Services: Offer billing and coding support, claims assistance, benefit verification, appeals/denials handling, and conduct welcome calls.

Customer Service: Provide exceptional service, resolve customer requests promptly, and escalate complaints as needed.

Reporting and Coordination: Report payer trends and reimbursement delays to management, coordinate with service providers, and process correspondence.

Confidentiality and Problem-Solving: Maintain patient confidentiality, analyse data to resolve issues, and follow standard operating procedures.