Patient Access Specialist
PROMPTCARE COMPANIES INC•Concord, NC
•Hybrid
About The Position
PromptCare is seeking a highly motivated and detail-oriented Patient Access Specialist who will possess experience within the healthcare industry, with a particular focus on respiratory therapy, and demonstrate the ability to thrive in a fast-paced environment. This role is primarily responsible for the timely creation, submission, and follow-up of initial authorization requests to assigned payers, ensuring patients receive necessary services without delay.
Requirements
- High School Diploma or equivalent
- Ability to manage multiple tasks and meet deadlines in a fast-paced environment
- Previous experience in healthcare, preferably in respiratory or durable medical equipment (DME)
- Strong knowledge of insurance authorization processes
- Ensure compliance with payer guidelines and company policies
- Medical Reimbursement background is preferred
- Appropriate computer skills for the position (Microsoft Office Suite) and areas of influence
- Experience with Brightree or similar healthcare management systems required
- Strong communication and problem-solving skills
- Clinical, medical office administrative, or related experience preferred
Responsibilities
- Collaborate with intake, clinical, and billing teams to gather required documentation
- Maintain accurate and up-to-date records in Brightree and other internal systems
- Prepare, submit, and track authorization requests to insurance payers in a timely and accurate manner
- Monitor authorization statuses and proactively follow up to prevent delays in patient care
- Ensure compliance with payer guidelines and company policies
- Regular contact with patients, insurance plans, physician offices, respiratory therapists and other personnel is necessary to ensure timely turnaround and approval
- Escalate problem accounts and ensure resolution
- Understand payer requirements to ensure authorization approval is granted
- Other duties as assigned
Benefits
- Comprehensive Medical, Dental, and Vision Package
- 401(k) Plan with Company Match
- Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays
- Life Insurance: Standard coverage with optional enhancements
- Employee Assistance Program: Free counseling and coaching sessions
- Emotional Well-being and Work-Life Balance Resources
- Short & Long-Term Disability: Company-paid with optional supplements
- Accidental Death and Dismemberment Insurance
- FSA and HSA: Manage healthcare expenses
- Commuter Spending Programs
- Employee Referral Bonuses
- Volunteer and Engagement Opportunities
- Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
