Patient Access Specialist

Job Summary

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

Key Responsibilities

• Validate patient insurance coverage and communicate issues to management
• Check prior authorization requirements and initiate requests as needed
• Coordinate paperwork and follow up on authorization status throughout the approval process

Required Qualifications

• Basic knowledge of payer payment processes and prior authorization procedures
• Familiarity with ICD9/10 and CPT codes, particularly therapy codes
• Advanced skills in Microsoft Excel and ability to learn CRM software
• Good organizational skills and ability to manage multiple inquiries simultaneously
• Experience in customer service and communication with various stakeholders