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Patient Access Specialist

Patient Access Specialist

The Reserves Network IncPhoenix, AZ, US
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Job Description

Job Description

Patient Access Specialist | $21 / hour |MON-FRI | Daytime Shifts| Temp- to- Hire | Phoenix, AZ

What Matters Most :

  • Pay at $21 hour
  • Monday- Friday 2 shifts available
  • Benefits offered : 2 medical plans, dental and vision
  • 401k
  • Weekly pay

Job Description :

In this role you will ensure cases move through the required process in compliance with company requirements providing the best level of service and quality to both healthcare providers and insurance plans / payers.

Responsibilities :

  • Conduct benefit investigations for patients by making outbound phone call to payers to verify patient insurance benefit information, navigate complex reimbursement barriers and seek resources to overcome the barriers.
  • Verify patient specific benefits and document specifics including coverage, cost share and access / provider options.
  • Identify any coverage restrictions and details on how to expedite patient access.
  • Document and initiate prior authorization process and claims appeals.
  • Report any reimbursement trends or delays in coverage to management.

    • Qualifications :

  • 1+ years of experience handling Prior Authorization forms
  • 1+ years of experience working in a medical or healthcare setting with an understanding of major medical and pharmacy benefit coverage.
  • High school graduate or equivalent
  • Salesforce system experience preferred.
  • Experience with benefit investigation involving the analysis and interpretation of insurance coverage.
  • Experience interacting with healthcare providers regarding health insurance plan requirements.
  • Excellent verbal communication skills and grammar

    • Your New Organization :

    This organization's dedication to quality and excellence drives our mission to serve our clients with the utmost professionalism. We prioritize innovation and best practices, enabling our team to deliver outstanding results consistently.

    Your Career Partner :

    The Reserves Network, a veteran-founded and family-owned company, specializes in connecting exceptional talent with rewarding opportunities. With extensive industry experience, we are dedicated to helping you achieve your professional goals and shine in your field. The Reserves Network values diversity and encourages applicants from all backgrounds to apply. As an equal-opportunity employer, we foster an environment of respect, integrity, and trust in every aspect of employment.

    In the spirit of pay transparency, we want to share the pay range for this position is $21.00, not including benefits, potential bonuses or additional compensation. If you are hired, your base salary will be determined based on factors such as individual skills, qualifications, experience, and geographic location. In addition, we also believe in the importance of pay equity and consider the internal equity of our current team members as a part of any final offer. Please keep in mind that the range mentioned above is the full base salary range for the role. Hiring at the maximum of the range would not be typical in order to allow for future & continued salary growth

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    Patient Specialist • Phoenix, AZ, US