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The Patient Access Specialist manages high-volume patient communications, verifies insurance eligibility, and educates patients on coverage and financial assistance. They are also responsible for submitting prior authorizations and maintaining accurate documentation within the billing system.
About Us: Artera is an AI startup that develops medical artificial intelligence tests to personalize therapy for cancer patients. Artera is on a mission to personalize medical decisions for patients and physicians on a global scale.
The Patient Access Specialist (Fixed-Term Contract) supports Artera's Patient Access team during a temporary special assignment focused on managing patient communications and ensuring an exceptional patient experience. This role is primarily responsible for handling a high volume of inbound and outbound patient calls, verifying insurance information, educating patients on coverage and payment options, and accurately documenting interactions. The ideal candidate is customer-focused, thrives in a fast-paced environment, and is comfortable working independently while collaborating closely with internal teams.
\nManage a high volume of inbound and outbound patient calls with professionalism, empathy, and courtesy.
Verify patient eligibility and insurance benefits using online tools or by contacting insurers directly.
Educate patients about their insurance coverage, estimated out-of-pocket costs, and available financial assistance programs.
Administer financial assistance programs.
Submit and manage prior authorization cases, ensuring timely follow-up and resolution.
Accurately document all patient interactions and follow-up activities within the billing system.
Obtain and manage all necessary documentation while collaborating with Revenue Cycle and Customer Success teams.
Build positive relationships with patients and internal stakeholders to resolve issues efficiently.
Support additional duties, special projects, or process improvement initiatives as needed.
Associate's degree required.
1–3 years of relevant healthcare or patient access experience.
Experience working in a high-volume call center or patient-facing healthcare environment strongly preferred.
Strong knowledge of medical benefits, insurance policies, coordination of benefits (COB), prior authorization workflows, and payer requirements for reimbursement from Medicare, Medicaid, and commercial insurance plans.
Customer-focused approach with the ability to remain calm and professional in high-pressure situations.
Exceptional organizational, problem-solving, and communication skills.
Ability to quickly learn new systems, tools, and processes.
Experience in a startup environment is a plus.
Fluency in Spanish is preferred.
Must be authorized to work in the United States.
Equal Employee Opportunity: At Artera, we value bringing together individuals from diverse backgrounds to develop new and innovative solutions for patients and physicians. As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, national origin, age, sex (including pregnancy), physical or mental disability, medical condition, genetic information gender identity or expression, sexual orientation, marital status, protected veteran status, or any other legally protected characteristic.
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