Healthcare Access Representative
3 days ago
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
- 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
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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