Patient Administration Specialist

TEKsystems•Whitpain Township, PA

2d•$22 - $22•Onsite

About The Position

We are seeking a detail-oriented Patient Administration Specialist to support the placement and ongoing management of durable medical equipment (DME) in the home environment. In this role, you will coordinate with patients, caregivers, healthcare providers, payers, and internal teams to ensure compliance, timely product delivery, and uninterrupted therapy. This is an excellent opportunity for individuals with healthcare administration or medical office experience who are looking to grow with a stable, patient-focused organization. The position offers a traditional weekday schedule with holidays off and a comprehensive benefits package.

Requirements

Knowledge of medical terminology related to billing and healthcare administration
Working understanding of insurance verification and third-party billing models
Strong written and verbal communication skills with attention to grammar, accuracy, and professionalism
Excellent organizational skills with the ability to prioritize tasks and meet deadlines
Ability to handle sensitive patient information confidentially and compliantly
Comfortable performing basic math calculations
Proficient with Microsoft Outlook, Word, and Excel; ability to learn new software systems
Ability to work independently with minimal supervision while maintaining attention to detail
Team-oriented mindset with the ability to build positive working relationships
Minimum of 1 year of experience in a healthcare, medical office, or customer service setting
High level of organization, attention to detail, and initiative
Desire to learn and grow within a healthcare administrative environment

Responsibilities

Conduct routine outreach with patients to verify active therapy use, insurance coverage, and provider information
Communicate regularly with healthcare providers to obtain payer-required clinical documentation
Coordinate with internal stakeholders to manage product transitions based on insurance eligibility and coverage guidelines
Maintain accurate, real-time documentation of patient records, demographics, insurance details, authorizations, and communication history
Assess patient eligibility for therapy based on clinical guidelines, compliance standards, and insurance coverage limitations
Perform timely insurance reauthorizations for continued therapy, ensuring compliance with payer requirements
Collaborate with billing teams to support accurate and timely claim submissions
Investigate and resolve insurance-related issues, including denied reauthorizations, delayed approvals, and appeals
Proactively escalate cases that may result in delayed or unbilled claims, including non-compliance or denied coverage
Adhere to federal and state regulations, HIPAA standards, Medicare guidelines, and internal compliance policies
Identify opportunities to improve workflows and support continuous improvement initiatives within patient qualification and reauthorization processes