Patient Access Associate

 Posted 2 hours ago
     
 $25 - $29 per hour
  
0-2 years experience
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AI Summary

The Patient Access Associate supports patients by managing insurance prior authorization requests, payer follow-ups, and appeals. They ensure accurate case documentation in Salesforce and coordinate with providers to facilitate timely authorization approvals.

This is a remote role with the ability to work anywhere in the United States. 

A brief introduction to the role: 

The Patient Access Associate supports patients seeking insurance coverage for the Leva® Pelvic Health System by assisting with prior authorization submissions, payer follow-ups, and early-stage appeals. This role serves as an important operational support function within the Patient Access team and works closely with Intake Specialists, Patient Access Specialists, and external partners to ensure timely and accurate insurance submissions. 

The Patient Access Associate is expected to manage the authorization process with both speed and strategic attention to detail. The role requires the ability to move cases efficiently through payer workflows while ensuring that submissions are complete, well-documented, and positioned to maximize the likelihood of approval. 

The successful candidate will demonstrate strong organizational skills, effective communication with patients and payers, and the ability to navigate payer processes with urgency while maintaining a high level of accuracy and professionalism. 

Responsibilities include: 

  • Assist with preparation and submission of insurance prior authorization requests
  • Track authorization status through payer portals such as Availity and other payer systems
  • Conduct payer follow-up calls and document updates in a timely manner to prevent delays in authorization decisions
  • Support the rapid and effective movement of cases through the authorization process while ensuring documentation quality
  • Maintain accurate case documentation within Salesforce CRM and internal tracking systems
  • Coordinate with providers and internal teams to quickly obtain missing documentation needed for authorization approval
  • Communicate clearly with patients regarding authorization status and next steps to maintain engagement throughout the process
  • Prepare and submit authorization appeals after denials
  • Identify simple opportunities to strengthen authorization submissions based on payer requirements
  • Ensure all work is completed in compliance with HIPAA and company policies 

Qualifications needed: 

  • Remote work environment with a quiet and secure workspace
  • 1–3 years of healthcare administrative, patient access, or insurance verification experience
  • Experience with prior authorization workflows and payer requirements
  • Experience with Availity or other payer authorization portals preferred
  • Experience with Salesforce or similar CRM systems  
  • Ability to manage cases with both urgency and accuracy
  • Strong written and verbal communication skills
  • Ability to work independently while contributing to a team-based environment 

Compensation:

  • The anticipated hourly rate for this position is $25–$29 per hour, with the final rate determined based on factors such as experience and geographic location. Benefits and equity are also part of the role. 

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