Patient Access Specialist
PROMPT CARE COMPANIES INC, King Of Prussia, PA, United States
Job Type
Full-time
Description
PromptCare is seeking a highly motivated and detail-oriented Patient Access Specialist?who will possess experience within the healthcare industry, with a particular focus on respiratory therapy, and demonstrate the ability to thrive in a fast-paced environment. This role is primarily responsible for the timely creation, submission, and follow-up of initial authorization requests to assigned payers, ensuring patients receive necessary services without delay.
Reports to:
Departmental Supervisor or Manager
Job Type:
This is a full-time position, 40 hours per week, Mon-Fri 8:30am-5pm
Requirements
High School Diploma or equivalent
Ability to manage multiple tasks and meet deadlines in a fast-paced environment
Previous experience in healthcare, preferably in respiratory or durable medical equipment (DME)
Strong knowledge of insurance authorization processes
Ensure compliance with payer guidelines and company policies
Medical Reimbursement background is preferred
Appropriate computer skills for the position (Microsoft Office Suite) and areas of influence
Experience with Brightree or similar healthcare management systems required
Strong communication and problem-solving skills
Clinical, medical office administrative, or related experience preferred
Job Responsibilities, included but not limited to:
Collaborate with intake, clinical, and billing teams to gather required documentation
Maintain accurate and up-to-date records in Brightree and other internal systems
Prepare, submit, and track authorization requests to insurance payers in a timely and accurate manner
Monitor authorization statuses and proactively follow up to prevent delays in patient care
Ensure compliance with payer guidelines and company policies
Regular contact with patients, insurance plans, physician offices, respiratory therapists and other personnel is necessary to ensure timely turnaround and approval
Escalate problem accounts and ensure resolution
Understand payer requirements to ensure authorization approval is granted
Other duties as assigned
Physical Demands
The physical requirements listed here indicate what an employee must meet to effectively perform this role's essential functions. The employee frequently needs to communicate verbally, listen attentively, and spend prolonged periods sitting at a desk and working on a computer. The role also requires lifting files, opening filing cabinets, and bending or standing as needed.
Benefits & Perks:
Comprehensive Medical, Dental, and Vision Package
401(k) Plan with Company Match
Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays
Life Insurance: Standard coverage with optional enhancements
Employee Assistance Program: Free counseling and coaching sessions
Emotional Well-being and Work-Life Balance Resources
Short & Long-Term Disability: Company-paid with optional supplements
Accidental Death and Dismemberment Insurance
FSA and HSA: Manage healthcare expenses
Commuter Spending Programs
Employee Referral Bonuses
Volunteer and Engagement Opportunities
Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans
Equal Employment Opportunity?
The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.
Full-time
Description
PromptCare is seeking a highly motivated and detail-oriented Patient Access Specialist?who will possess experience within the healthcare industry, with a particular focus on respiratory therapy, and demonstrate the ability to thrive in a fast-paced environment. This role is primarily responsible for the timely creation, submission, and follow-up of initial authorization requests to assigned payers, ensuring patients receive necessary services without delay.
Reports to:
Departmental Supervisor or Manager
Job Type:
This is a full-time position, 40 hours per week, Mon-Fri 8:30am-5pm
Requirements
High School Diploma or equivalent
Ability to manage multiple tasks and meet deadlines in a fast-paced environment
Previous experience in healthcare, preferably in respiratory or durable medical equipment (DME)
Strong knowledge of insurance authorization processes
Ensure compliance with payer guidelines and company policies
Medical Reimbursement background is preferred
Appropriate computer skills for the position (Microsoft Office Suite) and areas of influence
Experience with Brightree or similar healthcare management systems required
Strong communication and problem-solving skills
Clinical, medical office administrative, or related experience preferred
Job Responsibilities, included but not limited to:
Collaborate with intake, clinical, and billing teams to gather required documentation
Maintain accurate and up-to-date records in Brightree and other internal systems
Prepare, submit, and track authorization requests to insurance payers in a timely and accurate manner
Monitor authorization statuses and proactively follow up to prevent delays in patient care
Ensure compliance with payer guidelines and company policies
Regular contact with patients, insurance plans, physician offices, respiratory therapists and other personnel is necessary to ensure timely turnaround and approval
Escalate problem accounts and ensure resolution
Understand payer requirements to ensure authorization approval is granted
Other duties as assigned
Physical Demands
The physical requirements listed here indicate what an employee must meet to effectively perform this role's essential functions. The employee frequently needs to communicate verbally, listen attentively, and spend prolonged periods sitting at a desk and working on a computer. The role also requires lifting files, opening filing cabinets, and bending or standing as needed.
Benefits & Perks:
Comprehensive Medical, Dental, and Vision Package
401(k) Plan with Company Match
Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays
Life Insurance: Standard coverage with optional enhancements
Employee Assistance Program: Free counseling and coaching sessions
Emotional Well-being and Work-Life Balance Resources
Short & Long-Term Disability: Company-paid with optional supplements
Accidental Death and Dismemberment Insurance
FSA and HSA: Manage healthcare expenses
Commuter Spending Programs
Employee Referral Bonuses
Volunteer and Engagement Opportunities
Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans
Equal Employment Opportunity?
The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.