Artera

Patient Access Specialist

United States

Artera Logo
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Medical TechnologyIndustries

Requirements

Candidates should possess an Associate's degree, 1-3 years of relevant healthcare experience, strong knowledge of medical benefits, insurance policies, coordination of benefits (COB), prior authorization workflows, and payer requirements for reimbursement from Medicare, Medicaid, and commercial insurances, a customer-focused approach, exceptional organizational, problem-solving, and communication skills, and flexibility to adapt to new tools, processes, and team dynamics. Experience in a start-up environment is a plus, and fluency in Spanish is preferred.

Responsibilities

The Patient Access Specialist will manage a high volume of inbound and outbound calls with professionalism and courtesy, verify patient eligibility and insurance benefits using online tools or by contacting insurers directly, educate patients about their insurance coverage, out-of-pocket costs, and available options for financial assistance, administer financial assistance programs, submit and manage prior authorization cases, ensuring timely follow-up and resolution, accurately document all interactions and follow-up activities in the billing system, obtain and manage all necessary documentation, collaborating with internal revenue cycle and customer success teams, build positive relationships with patients and stakeholders to resolve issues effectively, support additional duties, special projects, or process improvement initiatives as needed.

Skills

Insurance verification
Patient communication
Financial assistance
Prior authorization
Medical benefits
Insurance policies
Coordination of benefits (COB)
Reimbursement workflows
Customer service
Documentation
Collaboration

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.

Key Metrics

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.

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