Patient Access Specialist

United States

Apply with AI Apply

Not SpecifiedCompensation

Junior (1 to 2 years), Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Artificial Intelligence, BiotechnologyIndustries

Requirements

Candidates must possess an Associate's degree and 1-3 years of relevant healthcare experience. A strong understanding of medical benefits, insurance policies, coordination of benefits, prior authorization workflows, and payer requirements for Medicare, Medicaid, and commercial insurances is essential. The role requires a customer-focused approach, exceptional organizational, problem-solving, and communication skills, and the flexibility to adapt to new processes. Experience in a start-up environment and fluency in Spanish are preferred.

Responsibilities

The Patient Access Specialist will manage inbound and outbound calls, verify patient eligibility and insurance benefits, and educate patients on costs and financial assistance options. This role involves administering financial assistance programs, submitting and managing prior authorization cases, and accurately documenting all interactions in the billing system. Responsibilities also include obtaining and managing necessary documentation, collaborating with internal teams, resolving issues effectively, and supporting special projects or process improvement initiatives.

Skills

Medical Benefits

Insurance Policies

Coordination of Benefits (COB)

Prior Authorization

Medicare

Medicaid

Commercial Insurance

Customer Service

Problem-Solving

Communication

Organizational Skills

Documentation

Call Management

Artera

SaaS digital health messaging integration platform

About Artera

Artera is a compelling workplace due to its critical role in improving healthcare communication, orchestrating over 2.2 billion messages annually across diverse channels like texting, email, and webchat. The company not only facilitates efficient healthcare staff operations and profitability for organizations but also enhances overall patient experience by supporting services in over 109 languages. This broad impact in healthcare through high-level integration with EHRs and third-party vendors positions Artera as a leader in the digital health sector.

Santa Barbara, CaliforniaHeadquarters

2015Year Founded

$148.4MTotal Funding

SERIES_CCompany Stage

AI & Machine Learning, HealthcareIndustries

201-500Employees

Risks

Emerging startups may erode Artera's market share.

Integration challenges with new EHR/EMR systems could arise.

Stricter data privacy regulations may impact Artera's operations.

Differentiation

Artera integrates seamlessly with EHRs/EMRs, enhancing patient communication efficiency.

Recognized as a two-time Best in KLAS winner for Patient Outreach.

Ranked on the Inc. 5000 list for four consecutive years.

Upsides

Increased telehealth adoption boosts demand for Artera's integrated platform.

AI-driven solutions enhance Artera's personalized patient communication capabilities.

Value-based care models align with Artera's focus on improving patient outcomes.

Land your dream remote job 3x faster with AI

Try Jobo Free