Patient Access Specialist

Summary

Join Artera, a leading AI medical startup, as a Patient Access Specialist and ensure a positive patient experience by managing communications, verifying insurance, and educating patients on payment options. You will accurately document interactions, collaborate with internal teams, and proactively resolve issues. This role contributes to process improvements and broader initiatives. The position requires an Associate's degree and 1-3 years of relevant healthcare experience. Strong knowledge of medical benefits, insurance policies, and prior authorization workflows is essential. Excellent organizational, problem-solving, and communication skills are needed. A customer-focused approach and adaptability are key. Artera offers a competitive salary, 401k matching, and unlimited PTO.

Requirements

• Associates degree required
• 1-3 years experience relevant healthcare experience
• Strong knowledge of medical benefits, insurance policies, coordination of benefits (COB), prior authorization workflows, and payer requirements for reimbursement from Medicare, Medicaid, and commercial insurances
• Customer-focused approach with the ability to handle high-pressure situations
• Exceptional organizational, problem-solving, and communication skills
• Flexibility to adapt to new tools, processes, and team dynamics

Responsibilities

• Manage a high volume of inbound and outbound calls with professionalism and courtesy
• Verify patient eligibility and insurance benefits using online tools or by contacting insurers directly
• Educate patients about their insurance coverage, out-of-pocket costs, and available options for financial assistance
• Administer financial assistance programs
• Submit and manage prior authorization cases, ensuring timely follow-up and resolution
• Accurately document all interactions and follow-up activities in the billing system
• Obtain and manage all necessary documentation, collaborating with internal revenue cycle and customer success teams
• Build positive relationships with patients and stakeholders to resolve issues effectively
• Support additional duties, special projects, or process improvement initiatives as needed

Preferred Qualifications

• Experience in a start-up environment is a plus
• Fluency in Spanish is preferred

Benefits

• 401k matching
• Unlimited paid time off (PTO)