Patient Access Specialist - 100% Remote in PST, MST or CST Time Zones
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Requirements
- 2-3+ years of experience in healthcare operations, patient access, insurance verification, prior authorization, medical billing, or revenue cycle support.
- Demonstrated success meeting SLAs and quality metrics in a high-volume environment.
- Experience resolving moderately complex payer issues, denied claims, or multi-step client cases.
- Prior experience in telehealth or multi-state healthcare environments preferred.
- Prior experience working in a fast-paced environment with measurable performance metrics (e.g., SLAs, quality standards).
- Technical Skills
- Proficiency with EHR/CRM systems and payer portals; ability to navigate multiple systems simultaneously.
- Strong data
Benefits
Additional Information
Job Title: Patient Access Specialist Status: Full-Time Non-Exempt Direct Hire Pay: $23.00-$26.00 per hour Location: 100% Remote ** preference to PST, MST or CST Time Zones ** We're a fast-growing, fully remote healthcare organization on a mission to improve access to care-and we know our people make that possible. As we expand, we are adding a new role to our team. We are seeking a Patient Access Specialist who will be responsible for providing advanced support across the client journey by independently resolving moderately complex insurance, authorization, billing, and care-readiness issues. About Expressable Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services, serving thousands of clients since our inception in late 2019. We are passionate advocates of parent-focused intervention. Our e-learning platform contains thousands of home-based learning modules authored by our clinical team, helping SLPs empower caregivers to integrate speech therapy techniques into their child's daily life and improve outcomes. Our mission is to set a new standard in speech therapy by making every caregiver a champion of their loved one's success. We envision a world where everyone can fulfill their communication potential. The Patient Access Specialist provides advanced support across the client journey by independently resolving moderately complex insurance, authorization, billing, and care-readiness issues. This role serves as a knowledgeable resource for escalations, ensures accuracy across workflows that impact client outcomes, and partners closely with internal teams to prevent delays in care. The Specialist also contributes to process improvement, supports onboarding of new team members, and models high-quality standards in documentation, communication, and compliance. WORK AUTHORIZATION: We are interested in every qualified candidate who is eligible to work in the United States. However, we are not able to sponsor visas at this time. What You Would Be Doing at Expressable Deliver an outstanding, responsive customer experience by supporting patient, family, referral source, and insurance inquiries across phone, email, text, and chat. Manage high-complexity insurance workflows, including secondary coverage, nuanced benefit structures, and multi-step authorization requirements. Manage inbound support requests and conduct proactive outreach to collect required documentation, close gaps in care, resolve concerns, schedule client appointments and improve overall client outcomes. Verify insurance benefits with accuracy, determine coverage/benefit limits, and ensure timely financial clearance prior to services. Prepare, submit, and track prior authorizations using appropriate systems; communicate authorization status, issues, and requirements to clinicians, clients, and internal teams. Support billing and financial inquiries by explaining charges, EOBs, deductibles, copays, payment plans, and financial policies; collect and process payments securely. Partner closely with clinical, scheduling, and operations teams to ensure accurate treatment plan alignment, session readiness, and continuity of care. Respond to internal inquiries about the status of in-process cases in a timely manner. Partner with the Revenue Integrity and Payer Compliance teams to resolve front-end rejections and registration related denials which includes collecting and updating patient billing information to ensure accurate submission/resubmission of claims. Maintain exemplary documentation quality in CRM/EHR systems, ensuring compliance with HIPAA, PCI, payer rules, and internal policies. Identify recurring issues or inefficiencies and recommend updates to workflows, job aids, or scripts; support pilots and process-improvement initiatives. Assist with onboarding and training of new team members by modeling strong communication, documentation, and case management practices. Manage an independent caseload, consistently meeting SLAs, quality standards, and follow-through expectations across all assigned work. What You Bring to Expressable Education High school diploma or GED required. Associate's degree or coursework in healthcare administration, business, or a related field preferred.
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