Patient Access Specialist | 40 Hrs/week

Sanford Health

United States of America
$16.50 - $26.50 ph
Review and validate insurance eligibility
Determine prior authorization criteria
Collect necessary documentation
Sanford Health is a large, growing not-for-profit health system offering many development and advancement opportunities

Job Summary

  • Sanford Health is a large, growing not-for-profit health system offering many development and advancement opportunities.
  • The Patient Access Specialist will review and validate insurance eligibility, prior authorizations, and referrals for medications and procedures.
  • Responsibilities include collecting documentation, communicating with payers, verifying benefits, and ensuring prior authorization for medical services.

Matching Summary

Sanford Health is a large, growing not-for-profit health system offering many development and advancement opportunities.

Salary

$16.50 - $26.50

Skills & Requirements

Must-have

  • Review and validate insurance eligibility
  • Determine prior authorization criteria
  • Collect necessary documentation
  • Communicate with third party payers
  • Verify patient registration and benefit coverage
  • Obtain diagnosis/CPT codes
  • Work with provider offices on medical necessity

Nice-to-have

  • Development and advancement opportunities
  • Collaborate with cross-functional teams
  • Assist with data management and reporting

Key Requirements

  • Minimum two years of experience
  • Hospital or clinic setting experience
  • Understanding of medical terminology
  • Insurance background
  • Office equipment and computer proficiency
  • High school diploma or equivalent preferred

Work Rights

Not specified

Tailored Resume

Cover Letter