Patient Access Concierge – Experienced
Posted 5ds ago
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Job Description
Patient access concierge supporting U.S. healthcare organizations with registration, insurance verification, prior authorizations, and scheduling. Resolving complex access issues and mentoring newer team members remotely.
Responsibilities:
- Collect, verify, and maintain patient demographic, insurance, and clinical information
- Review patient accounts for completeness and resolve registration discrepancies before scheduled services
- Complete and accurately record required documentation
- Verify insurance eligibility, benefits, referrals, and authorization requirements across payer types
- Obtain, monitor, and document prior authorizations and referrals
- Independently investigate and resolve complex insurance eligibility, authorization, and coverage issues
- Communicate authorization requirements, financial responsibility, and coverage concerns to patients, providers, and internal stakeholders
- Schedule, reschedule, and coordinate appointments according to client and provider guidelines
- Handle escalated patient, provider, and client inquiries
- Resolve complex scheduling and patient access issues
- Build relationships with provider offices, insurance carriers, and internal departments to support timely patient care
- Maintain complete, accurate, and timely documentation in assigned systems
- Ensure compliance with HIPAA, client requirements, payer guidelines, and organizational policies
- Identify documentation or workflow issues and take corrective action
- Meet productivity, quality, attendance, service, and other team metrics
- Assist with onboarding and training new team members
- Identify workflow inefficiencies and recommend process improvements
- Adapt to changing payer requirements, client expectations, and operational priorities
- Participate in departmental meetings, quality initiatives, and continuous improvement efforts
- Perform other duties as assigned
Requirements:
- High School Diploma or GED required
- One to four years of Patient Access, Medical Scheduling, Registration, or related healthcare experience required
- Ability to independently verify insurance eligibility, obtain prior authorizations, and manage appointment scheduling
- Experience resolving moderately complex insurance, authorization, or patient access issues with minimal guidance
- Experience using electronic medical record systems such as Epic or Cerner preferred
- Working knowledge of commercial insurance, Medicare, Medicaid, and managed care plans
- Excellent customer service, communication, organizational, and problem-solving skills
- Proficiency with Microsoft Office and web-based healthcare applications
- Ability to manage multiple priorities while maintaining accuracy and professionalism
- Ability to work independently in a remote environment with limited day-to-day oversight
- Reliable high-speed internet
- Private, quiet, focused workspace protecting patient confidentiality
- Ability to communicate clearly and professionally with patients, providers, and colleagues
- Ability to handle high-volume calls and inquiries, including phone-based communication for up to 8 hours per day
- Frequent typing and data entry across multiple software applications
- Ability to maintain HIPAA and patient confidentiality compliance
- Occasional overtime availability based on business needs
Benefits:
- Employer sponsored Medical, Dental & Vision
- Employer Paid Life, Short-term and Long-term Disability, and AD&D Insurance Plans
- Flexible Time Off Plan
- Paid Holidays
- Employee Referral Bonus
- Fully remote work arrangement
- Occasional overtime may be required based on business needs
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