Patient Care Coordinator

Job Title: Patient Access Specialist

Remote

Duration : 3-6 Months

Job Details
Under the general supervision of an Operations Manager, the Patient Access Specialist will be providing advanced services to patients, providers, and caregivers on behalf of patients for a specific manufacturer sponsored program or set of programs.

Responsibilities

• Provides advanced services to patients, providers and caregivers. Services could include but not limited to:
• Billing and coding support.
• Claims assistance, tracking and submission.
• Prior authorization assistance and tracking.
• Coordination of benefits.
• Benefit verification result call.
• Welcome calls.
• Advanced alternate coverage research.
• Appeals/Denials.
• Intakes and reports adverse events as directed.
• Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.
• Establishes themselves as regional experts regarding payer trends and reports any reimbursement trends/delays to management team (e.g. billing denials, claim denials, pricing errors, payments, etc.).
• Processes any necessary correspondence.
• Coordinates with internal and external service providers to ensure services are performed in accordance with program policy and within expected service level agreements (SLA's).
• Maintains confidentiality in regards to all patient sensitive information.
• Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercises judgment within defined standard operating procedures to determine appropriate action.
• Required to be self-motivated, working from a queue (phone or system). Expected to perform work in accordance with defined standard operating procedures. Management will monitor queues and provide active feedback as required.
• Performs related duties as assigned, which could include well defined services generally performed by other program representatives (e.g. benefit verifications, Patient Assistance Program determinations).
• Applies company policies and procedures to resolve a variety of issues.

Education Requirements

High school diploma or GED required. Requires a minimum of four (4) years directly related and progressively responsible experience in customer service, medical billing and coding, benefits verification, healthcare, business administration or similar vocations. A bachelor's degree is preferred. An equivalent combination of education and experience will be considered.

Skills And Abilities Requirements

• Advanced customer service experience.
• Ability to communicate effectively both orally and in writing.
• Ability to build productive internal/external working relationships.
• Advanced interpersonal skills.
• Basic analytical skills.
• Advanced organizational skills and attention to detail.
• Must be proficient with MS Excel, Outlook and Word.
• General knowledge of the healthcare industry is preferred.

Dexian is a leading provider of staffing, IT, and workforce solutions with over 12,000 employees and 70 locations worldwide. As one of the largest IT staffing companies and the 2nd largest minority-owned staffing company in the U.S., Dexian was formed in 2023 through the merger of DISYS and Signature Consultants. Combining the best elements of its core companies, Dexian's platform connects talent, technology, and organizations to produce game-changing results that help everyone achieve their ambitions and goals.

Dexian's brands include Dexian DISYS, Dexian Signature Consultants, Dexian Government Solutions, Dexian Talent Development and Dexian IT Solutions. Visit https://dexian.com/ to learn more.

Dexian is an Equal Opportunity Employer that recruits and hires qualified candidates without regard to race, religion, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or veteran status.