Patient Access Specialist

Description

The?
Patient Access Specialist
?will possess experience within the healthcare industry, with a particular focus on respiratory therapy, and demonstrate the ability to thrive in a fast-paced environment. This role involves the creation, submission, follow-up, and documentation of recertification CMNs to physician offices via Brightree. Additionally, the specialist will be responsible for the timely submission of authorization requests to designated payers.

Reports to:

Departmental Supervisor or Manager

Job Type: This is a full-time position, 40 hours per week, Mon-Fri 8:30am-5pm

• High School Diploma or equivalent
• Ability to handle multiple tasks in fast paced, challenging environment
• DME background is a preferred
• Medical Reimbursement background is preferred
• Appropriate computer skills for the position (Microsoft Office Suite) and areas of influence
• 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 issue
• 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
• Submission of authorization requests will be completed 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 in a timely manner, the required forms and documentation to obtain authorization for services, supplies and equipment for patients under the assigned payers
• 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 here indicate 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.