Healthcare Access Representative

3 days ago


Orlando, Florida, United States AppleOne Full time
Job Overview

In this dynamic role as a Healthcare Access Representative, you will play a vital part in facilitating patient access to diagnostic and genetic laboratory testing. Based in Orlando, FL, this opportunity offers a Temp to Perm position with a competitive hourly rate of $17/hour.

Responsibilities
  • Submit PA requests via online portals and other methods for diagnostic and genetic laboratory tests
  • Complete benefits investigations and other processes to facilitate patient access to diagnostic and genetic laboratory testing
  • Populate Insurer forms & solve issues regarding existing and/or missing forms
  • Serve clients by handling inbound calls from health care providers, payers, and patients and responds to escalated inquiries
  • Able to professionally and appropriately handle physician/payer call escalations
  • Able to follow and participate in the development of SOPs
  • Deliver Quality work, and maintains high meet to exceeds scores on Quality audits & metrics
  • Work at times with our newest and most challenging accounts, working well under pressure
  • Troubleshoot where necessary to achieve goal of obtaining authorization. Identifies and resolves prior authorization issues/patient access issues. Appropriately documents all payer, patient, and client interactions
  • Able to learn system software and adjust to system enhancements
  • Work in a flexible environment, where the work performed can change quickly and where responsiveness is key
  • Follow up on pending cases with payers, patients, health care providers, and laboratories through to resolution both verbally and in writing in a professional manner
Requirements
  • Healthcare background, or coding, with medical terminology
  • Previous experience with prior authorizations and medical insurance knowledge (Familiar with Medicaid, Medicare, and commercial payers)
  • Medical Billing experience Preferred
  • Computer Skills
  • Minimum 2 years' experience with Microsoft Word and Excel
  • Oncology related experience a plus
  • Laboratory related experience a plus
Benefits

We offer a comprehensive benefits package, including major medical, dental, vision, 401k and statutory sick pay where required. We are committed to working with and providing reasonable accommodations to individuals with disabilities.



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