Patient Access Specialist - Specialty Clinic

FRANKLIN GENERAL HOSPITALHampton, IA

About The Position

The Patient Access specialist is responsible for supporting the specialty clinic by coordinating patient scheduling, managing referrals, completing prior authorizations, and verifying insurance coverage. This role ensures efficient clinic workflow while delivering excellent customer service to patients, providers, and external partners.

Requirements

  • High school diploma or equivalent
  • Strong communication and organizational skills

Nice To Haves

  • Experience with referrals, prior authorizations, or insurance verification
  • Experience in a healthcare or medical office setting
  • Knowledge of medical terminology

Responsibilities

  • Schedule patient appointments for specialty clinic services
  • Coordinate incoming and outgoing referrals with providers and external organizations
  • Complete prior authorizations in accordance with payer requirements
  • Perform insurance verification to ensure eligibility and coverage accuracy
  • Conduct patient outreach calls related to appointments
  • Maintain accurate and timely documentation within the electronic health record (EHR)
  • Assist with clinic workflow coordination and provider scheduling needs
  • Serve as a point of contact for patients regarding scheduling and administrative questions
  • Ensure compliance with all regulatory, privacy (HIPAA), and organizational standards
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