Patient Access Specialist

4 weeks ago

Orlando, United States AppleOne Full time
Job DescriptionJob DescriptionPatient Access Specialist opportunity in Orlando, FL zip code 32819
Pay: $17/hour
Length: Temp to Perm opportunity
Schedule: M-F 8:30am to 5:00pm
In Office opportunity - Orlando, FL 32819 - 100% onsite role
Start date -- December 9th, 2024- must be able to start on this date to be considered

Job 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.
• Ability to professionally and appropriately handle physician / payor call escalations
• Ability 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.

Qualifications for role:
• 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

EEO/AA Employer/Vet/Disabled.

The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

#1115

Company DescriptionFounder and CEO, Janice Bryant Howroyd, is a North Carolina native who left her hometown in 1976 armed with $1500. Since then, she has dedicated her efforts to building an organization that is committed to keeping the humanity in Human Resources and Strategic, Inclusive Procurement.

Mrs. Howroyd’s commitment to excellence has grown ActOne Group to 33 countries, with over 17,000 clients and more than 2,800 employees. The largest woman-minority-owned workforce management company founded in the US, ActOne Group professionals bring expertise in delivering corporate HR initiatives to local and global markets.

Mrs. Howroyd was selected by former President Barack Obama to serve as a White House appointee and continues to serve under the current administration as an Ambassador of Energy. Mrs. Howroyd gives generously through funding and advocacy for STEM education, particularly for women and minorities.

Mrs. Howroyd leads her teams to build business success based on the ability to connect great companies with outstanding talent. Her passion for education, mentorship, and self-empowerment initiatives have earned her many professional and philanthropic recognitions. She is a sought–after speaker and media subject matter expert in her fields. Her book, The Art of Work: How to Make Work, Work for You, is available on Amazon.com.Company DescriptionFounder and CEO, Janice Bryant Howroyd, is a North Carolina native who left her hometown in 1976 armed with $1500. Since then, she has dedicated her efforts to building an organization that is committed to keeping the humanity in Human Resources and Strategic, Inclusive Procurement.\r
\r
Mrs. Howroyd’s commitment to excellence has grown ActOne Group to 33 countries, with over 17,000 clients and more than 2,800 employees. The largest woman-minority-owned workforce management company founded in the US, ActOne Group professionals bring expertise in delivering corporate HR initiatives to local and global markets.\r
\r
Mrs. Howroyd was selected by former President Barack Obama to serve as a White House appointee and continues to serve under the current administration as an Ambassador of Energy. Mrs. Howroyd gives generously through funding and advocacy for STEM education, particularly for women and minorities.\r
\r
Mrs. Howroyd leads her teams to build business success based on the ability to connect great companies with outstanding talent. Her passion for education, mentorship, and self-empowerment initiatives have earned her many professional and philanthropic recognitions. She is a sought–after speaker and media subject matter expert in her fields. Her book, The Art of Work: How to Make Work, Work for You, is available on Amazon.com.

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