PATIENT ACCESS SPECIALIST I

2 weeks ago


GA United States CND Life Sciences Full time

The Patient Access Specialist I (PASI) will be responsible for performing all the functions needed to complete benefit verifications (BVs) from start to finish.; as well as be responsible for initiating prior authorizations (PAs). The PASI will work closely with members of the Patient Access, Revenue Cycle Management, and Clinical Services Departments daily.

Job Responsibilities:

  • Collect and enter all patient and insurance information relevant to completing BVs, PAs, and other pre-authorizations into CND's customer relationship management platform (Salesforce) in a highly accurate and timely manner.
  • Pull faxes and triage correspondence received in the department.
  • Complete BVs, PAs, and other pre-authorizations in a highly accurate and timely manner (in accordance with their priority level) to fully meet the business needs of CND.
  • Check the department email for requests and resolutions.
  • Fully utilize Waystar along with other previously authorized online portals to process BVs, PAs, GAPs and/or Referrals to meet turnaround time expectation, increase accuracy and drive efficiency.
  • Ensure patient charts are updated and BV & PA statuses are accurately assigned/identified.
  • Regularly liaise with Clinical Services, RCM, and other members of the Patient Access team to support their functions related to BVs, PAs, and other pre-authorizations.
  • Always comply with HIPPA and all other applicable regulations as well as CND's policies.
  • Other duties as assigned.

Knowledge, Skills & Experience:

  • Previous experience completing BVS, PAs and other pre-authorizations as well as medical billing
  • Always act in a highly compliant and professional manner.
  • Understand and apply knowledge of the U.S. healthcare system as well as government and commercial U.S. health insurance and coverage.
  • Understand and apply knowledge of medical front office processes and terminology.
  • High attention to detail and highly accurate documentation of information.
  • Strong customer service skills to be used in internal communications with the RCM and Clinical Services teams.
  • Strong analytical skills to organize data, interpret data and to enable problem solving.
  • Excellent poise and professionalism in verbal and written communication.
  • Strong ability to work effectively in fast-paced, dynamic team environments.
  • Excellent time management.
  • Strong ability to multitask.

Education, Certifications & Licensures:

  • High school diploma or GED certificate required.
  • Associate degree preferred.

Other:

  • Ability to use computers, software, and related platforms.
  • Must possess the ability to sit or stand for long periods
  • This position is fully remote with the possibility of travel between CND's Scottsdale, AZ or Atlanta, GA offices a couple times per year.


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