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Patient Access Representative

Dexian
York, SC Full Time
POSTED ON 3/3/2025
AVAILABLE BEFORE 3/28/2025

Job Title: Patient Access Specialist

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

Key Responsibilities:

  • Billing and coding support
  • Claims assistance, tracking, and submission
  • Prior authorization assistance and tracking
  • Escalating complaints accordingly
  • Establishing regional expertise regarding payer trends and reporting reimbursement trends/delays to management teams
  • Coordinating with internal and external service providers to ensure services are performed in accordance with program policy and within expected service level agreements (SLAs)

The ideal candidate will possess a minimum of four years of directly related experience in customer service, medical billing and coding, benefits verification, healthcare, business administration, or similar vocations. A bachelor's degree is preferred. The candidate must be proficient in MS Excel, Outlook, and Word, and have a general knowledge of the healthcare industry.

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