Patient Access Representative

Job Summary

A company is looking for a Patient Access Representative to manage prior authorization processes and facilitate patient access to therapies.

Key Responsibilities

• Verify patient insurance coverage and communicate issues to management
• Initiate and coordinate prior authorization requests and necessary documentation
• Follow up on authorization status and assist with appeals for denials

Required Qualifications

• 5 years of experience in a related field
• Basic knowledge of payer payment processes and prior authorization procedures
• Familiarity with ICD9/10 and CPT codes
• Advanced skills in Microsoft Excel and ability to learn CRM software
• Strong organizational skills and ability to manage multiple inquiries