Patient Access Specialist
About The Position
The?Patient Access Specialist?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 involves the creation, submission, follow-up, and documentation of recertification CMNs to physician offices via Brightree. Additionally, the specialist will be responsible for the timely submission of authorization requests to designated payers. Reports to: Departmental Supervisor or Manager Job Type: This is a full-time position, 40 hours per week, Mon-Fri 8:30am-5pm
Requirements
- High School Diploma or equivalent
- Ability to handle multiple tasks in fast paced, challenging environment
- Appropriate computer skills for the position (Microsoft Office Suite)
Nice To Haves
- DME background is a preferred
- Medical Reimbursement background is preferred
- Brightree experience is preferred
- Clinical, medical office administrative, or related experience preferred
Responsibilities
- Work collaboratively with other department staff such as AR Specialists to ensure timely collections or resolution of issue
- Perform Brightree related transactions such as the creation, submission and logging of a CMN accurately and timely
- Ensure that proper CMN/prescription documentation is on file in a timely manner to ensure compliance for equipment and supplies billed to commercial, state and federal entities
- Submission of authorization requests will be completed using paper forms, printed documentation, fax, payer portals or other means
- Contact patients, physician offices and referral sources as needed regarding account issues
- Escalate problem accounts and ensure resolution
- Submit in a timely manner, the required forms and documentation to obtain authorization for services, supplies and equipment for patients under the assigned payers
- Understand payer requirements to ensure authorization approval is granted
- Regular contact with patients, insurance plans, physician offices, respiratory therapists and other personnel is necessary to ensure timely turnaround and approval
- 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
Entry Level
Education Level
High school or GED
Number of Employees
501-1,000 employees
