At GenesisCare, we are eager to engage with individuals who share our fervor for innovation and collaboration in the pursuit of enhanced life outcomes for patients globally.
Check Also: Packing Jobs in USA with Work Visa – Apply Now
Role Summary:
The primary responsibility of this role is to facilitate a seamless and efficient patient experience by ensuring accurate verification of patient eligibility, securing prior authorizations, and optimizing patient benefits. This position will function as the primary point of contact for patients, facilitating coordination among various departments to ensure that all requisite measures are implemented to address patient requirements, in accordance with the policies and procedures of the healthcare organization.
Your Key Responsibilities:
- Employ a range of databases and systems to ascertain patient insurance coverage and eligibility.
- Engage with patients to acquire any absent or updated insurance information.
- Examine the criteria for medical necessity and the stipulations set forth by insurance providers to ascertain the necessity for prior authorizations.
- Commence and monitor prior authorization requests with insurance providers, ensuring prompt approvals.
- Engage in collaboration with healthcare providers and administrative personnel to collect the requisite clinical documentation essential for substantiating prior authorization requests.
- Instruct patients regarding the specifics of their insurance coverage, encompassing copayments, deductibles, and out-of-pocket expenses.
- Assess the advantages afforded to patients and aid in the identification of resources aimed at mitigating financial obstacles to accessing care.
- Collaborate with clinical personnel and relevant departments to guarantee that all requisite arrangements are completed for the scheduled patient appointments.
- Diligently input patient information, insurance particulars, and authorization status into electronic health records (EHR) and billing systems with precision.
- Maintain comprehensive documentation of prior authorization requests, including approvals, denials, and appeals, for the purposes of monitoring and reporting.
- Additional responsibilities as designated.
Benefits:
- Competitive Compensation and Benefits Package: Numerous employers provide a comprehensive benefits package that includes health insurance, dental and vision coverage, a 401(k) retirement plan, compensated time off, and tuition reimbursement.
- Employment Stability and Elevated Demand: The healthcare sector represents one of the most rapidly expanding industries in the United States. Healthcare institutions, including hospitals, clinics, and specialized medical practices, consistently require the expertise of patient access professionals.
- Accessible to Entry-Level Candidates with Minimal Educational Prerequisites: A high school diploma or General Educational Development (GED) credential is generally sufficient to commence. Training is conducted in a practical work environment. Additional certifications (CHAA, CRCR) can enhance career development
- Adaptable Work Schedules: Opportunities for full-time, part-time, and remote/hybrid employment are currently available. Hospitals and clinics provide a variety of shift options, including daytime, evening, and overnight schedules.
- Transferable Skills: Proficient in customer service, data entry, insurance verification, and the management of medical records. May facilitate career opportunities in the fields of healthcare, insurance, or administration.
- Engaging and Fulfilling Employment: Assists patients in maneuvering through the healthcare system. Alleviates patient tension by providing support with appointment scheduling, invoicing inquiries, and insurance-related matters.
- Remote & Work-From-Home Opportunities: Certain healthcare networks provide opportunities for remote positions, particularly in the areas of scheduling and insurance verification.
Minimum Qualifications:
- Possession of a high school diploma or its equivalent.
- Previous experience in healthcare administration, patient access, or insurance coordination.
- Demonstrated expertise in the utilization of electronic health records (EHR) systems and the Microsoft Office Suite.
- Possesses a robust comprehension of medical terminology, insurance policies, and healthcare regulations.
Preferred Qualifications:
- Previous experience in healthcare financial counseling and/or securing prior authorizations.
About GenesisCare:
GenesisCare U.S. operates an integrated oncology and multispecialty network across Florida and North Carolina, delivering care to over 120,000 patients each year. The organization provides community-based cancer care and a range of additional services at accessible locations. The company’s objective is to transform the care experience by enhancing patient outcomes, accessibility, and the delivery of care.
Utilizing cutting-edge technology and pioneering treatment modalities, proficient physicians and support personnel deliver comprehensive and coordinated care across various specialties, including radiation oncology, urology, medical oncology, hematology, diagnostics, otolaryngology, and surgical oncology. For additional information, please visit.
GenesisCare is an Equal Opportunity Employer that is committed to diversity and inclusion.
Frequently Asked Questions:
How much does a patient access specialist make in NY?
The average hourly pay for a Patient Access Specialist in New York is $23.11 an hour.
What are the job duties of a Patient Access Specialist?
Facilitating the registration and check-in process for patients. I am responsible for verifying the insurance coverage and managing the claims process. Arranging medical appointments. I am responsible for addressing patient inquiries and resolving any discrepancies in billing. I am responsible for ensuring the meticulous upkeep of precise patient records.
What is a Patient Access Specialist?
A Patient Access Specialist is tasked with the responsibilities of registering patients, verifying insurance coverage, scheduling appointments, and addressing invoicing inquiries within hospitals, clinics, and healthcare facilities. They function as the initial point of contact for patients.
