About The Position

We are seeking a Patient Access Evaluator to review and assess patient-facing Voice AI interactions focused on benefits navigation, coverage explanations, affordability, and access next steps. In this contractor role, you will listen to and interact with AI-led calls and evaluate whether the agent provides accurate, clear, and helpful guidance aligned with real-world patient access workflows. This role is ideal for someone with hands-on experience in patient access, benefits investigation, reimbursement support, or financial navigation, who is comfortable making judgment calls on insurance-related conversations and holding AI-driven interactions to the same standard as an experienced human access specialist. You’ll work on a flexible schedule, typically averaging 10–20 hours per week, reviewing calls and documenting structured feedback using predefined evaluation criteria.

Requirements

  • 2–5+ years of experience in patient access, benefits investigation, reimbursement support, or financial navigation.
  • Direct experience communicating with patients about insurance coverage, benefits, or affordability.
  • Strong written and verbal communication skills.
  • Ability to make clear, precise judgment calls when evaluating AI performance.
  • Fluency in English.
  • Reliable access to a computer and high-speed internet.

Nice To Haves

  • Experience supporting specialty therapies or complex benefit structures.
  • Familiarity with hub services, patient support programs, or access-related call workflows.
  • Experience using access or reimbursement tools (e.g., CRMs, hub platforms, call review systems).
  • Fluency in an additional language.
  • Exposure to digital health or AI-enabled support tools.

Responsibilities

  • Listen to and evaluate Voice AI calls related to insurance coverage, benefits explanations, prior authorization basics, affordability, and access next steps.
  • Assess accuracy, clarity, tone, and appropriate escalation handling.
  • Identify misinformation, patient confusion, or incomplete guidance related to benefits or access.
  • Score calls using defined rubrics and provide clear, actionable feedback.
  • Flag potential risks impacting patient understanding, access, or follow-through.

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What This Job Offers

Job Type

Part-time

Career Level

Mid Level

Education Level

No Education Listed

Number of Employees

101-250 employees

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