Patient Access Specialist

Patient Access Specialist

Prompt Care is looking for a Patient Access Specialist to support respiratory therapy operations. This position requires experience within the healthcare industry, a focus on respiratory therapy, and the ability to thrive in a fast‑paced environment.

Key responsibilities include the creation, submission, follow‑up, and documentation of recertification CMNs to physician offices via Brightree, and timely submission of authorization requests to designated payers. The specialist will report to the Departmental Supervisor or Manager.

Full‑time, 40 hours per week, Monday–Friday 8:30 AM–5:00 PM.

• High School Diploma or equivalent
• Ability to handle multiple tasks in a fast‑paced, challenging environment
• DME background is preferred
• Medical Reimbursement background is preferred
• Appropriate computer skills (Microsoft Office Suite)
• Brightree experience is preferred
• Clinical, medical office administrative, or related experience preferred

• Work collaboratively with other department staff such as AR Specialists to ensure timely collections or resolution of issues
• 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
• Submit authorization requests 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 required forms and documentation to obtain authorization for services, supplies and equipment for patients under the assigned payers in a timely manner
• 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

The physical requirements listed are what an employee must meet to effectively perform this role's essential functions. The employee frequently needs to communicate verbally, listen attentively, and spend prolonged periods sitting at a desk and working on a computer. The role also requires lifting files, opening filing cabinets, and bending or standing as needed.

• 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

The Prompt Care Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.

Entry level

Full‑time

Health Care Provider