Patient Access Representative
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Job Description
Patient Access Representative securing prescriptions and insurance authorizations for Aveanna’s homecare patients. Managing documentation, eligibility, and provider/payer follow-up remotely.
Responsibilities:
- Request and obtain prescriptions and authorizations from medical offices and insurance companies
- Follow up with providers and payers to ensure timely receipt of required documentation
- Resolve questions related to Certificates of Medical Necessity (CMN) and participating provider requirements
- Re-verify patient eligibility for ongoing services
- Maintain accurate, compliant documentation in accordance with HIPAA and regulatory standards
- Communicate with patients, provider offices, and internal teams to resolve access-related issues
Requirements:
- Experience with insurance authorizations, pre-certifications, or prescription follow-up
- Strong attention to detail and sense of urgency
- Comfortable managing multiple patient accounts and deadlines
- Effective written and verbal communication skills
- Able to work independently in a remote environment
- Ability to maintain a quiet, dedicated workspace that is free of background noise and ongoing distractions
- Ability to participate in virtual meetings with a professional, camera-ready presence
- Ability to demonstrate strong time-management skills, as well as accountability and self-direction
- Must be able to operate off reliable, high-speed internet
- High school diploma or GED required
- 2+ years of healthcare administrative, medical office, or insurance-related experience
- Insurance authorization or precertification experience preferred
- Home health, DME, or enteral experience a plus
- Proficiency in Microsoft Office (Outlook, Word, Excel)
Benefits:
- 100% Remote
- Equipment Provided
- Full Benefits Package (Medical, Dental, Vision, 401k, PTO)
- Paid Holidays + Bonus Days Off
- Structured onboarding and role-based training
- Opportunities for internal growth
- Competitive hourly pay starting at $18.00 per hour depending on experience
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