Patient Access Specialist Job at AppleOne, Orlando, FL

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  • AppleOne
  • Orlando, FL

Job Description

Patient Access Specialist opportunity
Pay: $17/hour

Job Responsibilities:

• Submit PA requests via online portals, and other methods for diagnostic and genetic laboratory tests
• Complete benefits investigations, and other processes to facilitate patient access to diagnostic and genetic laboratory testing
• Populate Insurer forms & solve issues regarding existing and/ or missing forms
• Serve clients by handling inbound calls from health care providers, payers, and patients and responds to escalated inquiries.
• Ability to handle physician / payor call escalations professionally and appropriately
• Ability to follow and participate in the development of SOPs.
• Deliver Quality work, and maintains high meet to exceeds scores on Quality audits & metrics
• Work at times with our newest and most challenging accounts, working well under pressure.
• Troubleshoot where necessary to achieve goal of obtaining authorization. Identifies and resolves prior authorization issues / patient access issues. Appropriately documents all payer, patient, and client interactions.
• Able to learn system software and adjust to system enhancements.
• Work in a flexible environment, where the work performed can change quickly and where responsiveness is key.
• Follow up on pending cases with payers, patients, health care providers, and laboratories through to resolution both verbally and in writing in a professional manner.

Qualifications for role:
• Healthcare background, or coding, with medical terminology
• Previous experience with prior authorizations and medical insurance knowledge (Familiar with Medicaid, Medicare, and commercial payers)
• Medical Billing experience Preferred
• Computer Skills
• minimum 2 years' experience with Microsoft Word and Excel
• Oncology related experience a plus
• Laboratory related experience a plus

EEO/AA Employer/Vet/Disabled.

The Know Your Rights poster is available here:

The pay transparency policy is available here:

For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.

We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Additional Skills

(none specified)

Job Tags

Temporary work, Flexible hours,

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