Patient Access Specialist

PROMPTCARE COMPANIES INC•King of Prussia, PA

10h

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.

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) and areas of influence

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