Healthcare Access Coordinator

1 week ago


Overland Park, Kansas, United States The Reserves Network Inc Full time
Position Overview

As a Patient Access Specialist, you will play a crucial role in enhancing the patient experience by providing essential support in navigating healthcare services. Your contributions will directly impact the lives of patients by ensuring they receive the necessary therapy solutions through effective communication and collaboration.

Key Responsibilities:
  • Perform comprehensive benefit investigations for patients by engaging with payers to confirm insurance benefit details, addressing complex reimbursement challenges, and identifying resources to facilitate patient access.
  • Accurately verify patient-specific benefits and meticulously document coverage specifics, cost-sharing, and provider access options.
  • Recognize any coverage limitations and outline procedures to expedite patient access to necessary services.
  • Initiate and document the prior authorization process, as well as manage claims appeals when necessary.
  • Monitor and report any trends or delays in reimbursement to management for further action.
Qualifications:
  • Proven experience in benefit investigation with a focus on analyzing and interpreting insurance coverage.
  • Demonstrated ability to interact effectively with healthcare providers regarding health insurance plan requirements.
  • Strong verbal communication skills with excellent grammar.
  • Familiarity with Salesforce or similar systems is preferred.
About Our Organization:

This role is with a dedicated healthcare patient support organization that has been committed to providing exceptional experiences and solutions for patients, caregivers, and healthcare providers for over a decade.

Your Career Partner:

The Reserves Network Inc, a veteran-founded and family-owned organization, specializes in connecting talented individuals with rewarding career opportunities. We are dedicated to supporting your professional journey and helping you excel in your field.

As an equal-opportunity employer, we celebrate diversity and are committed to fostering an inclusive environment of respect, integrity, and trust in all aspects of employment.



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