Patient Access Specialist

Sanford Health

United States of America
Base: $16.50 - $26.50; bonus/equity: not specified...
Fully remote
Insurance eligibility review
Prior authorization process
Medical necessity documentation
The Patient Access Specialist reviews and validates insurance eligibility, prior authorization and/or referral of medication, procedures, etc., determining if insurance meets prior authorization criteria

Job Summary

  • The Patient Access Specialist reviews and validates insurance eligibility, prior authorization and/or referral of medication, procedures, etc., determining if insurance meets prior authorization criteria.
  • This role involves collecting necessary documentation, communicating with third party payers and healthcare professionals, and verifying patient registration and benefit coverage.
  • Sanford Health offers many development and advancement opportunities to its dedicated employees.

Matching Summary

The Patient Access Specialist reviews and validates insurance eligibility, prior authorization and/or referral of medication, procedures, etc., determining if insurance meets prior authorization criteria.

Salary

Base: $16.50 - $26.50; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Insurance eligibility review
  • Prior authorization process
  • Medical necessity documentation
  • Third party payer communication
  • Benefit coverage verification

Nice-to-have

  • Flexible schedule
  • Work from home option
  • Cross-functional team collaboration

Key Requirements

  • Minimum two years of experience
  • Hospital or clinic setting experience
  • Understanding of medical terminology
  • Insurance background required
  • High school diploma or equivalent preferred

Work Rights

Not specified

Tailored Resume

Cover Letter