AI Patient Access Specialist

Role Overview

This is the next generation of a contact center role in the healthcare field. As an AI Patient Access Specialist, you will serve as the "human-in-the-loop," bridging the gap between traditional insurance verification and cutting-edge machine learning. You won’t just be making calls; you will be teaching the Infinitus AI system how to navigate the complexities of the healthcare reimbursement landscape.

Key Responsibilities

• Ai System Navigation: Assist the Infinitus AI system in completing complex insurance verification phone calls through our proprietary platform.
• Platform Training: Work closely with operations and engineering teams to provide feedback that improves healthcare data collection and AI accuracy.
• Quality Assurance: Ensure the quality of recorded AI outputs, identifying nuances in payer responses, pushing back as necessary to ensure accurate responses to questions.
• Data Entry: Ensure accurate entry of information into proprietary platforms from a number of sources including but not limited to faxes, forms, or information shared verbally from callers.
• Adverse Events Handling: Identify, document, and submit Adverse Events during interaction with callers and/or received documentation.
• Drive AI Efficiency: Consistently hit daily production and quality benchmarks by swiftly and accurately handling tasks that the AI agent cannot handle.
• Peak Season Support: Participate in mandatory periodic overtime during high-volume seasons, new product launches, or system extensions to ensure zero backlog.

Required Qualifications

• Domain Expertise: Background in Insurance Verification strongly preferred and a minimum of 2+ years of experience in a healthcare field, contact center, or insurance/patient access contact center preferred.
• Technical Literacy: Comfortable learning and operating new, proprietary software programs with high speed and precision.
• Communication: Strong written and verbal communication skills; ability to explain complex insurance concepts clearly.
• Compliance: Ability to work in strict compliance with HIPAA regulations and safeguard sensitive personal health information (PHI).
• Detail Orientation: Exceptional attention to detail and the ability to maintain accuracy while managing a high volume of tasks.

Preferred Qualifications

• Experience in a high-volume Call Center environment.
• Previous experience as a Case Manager or Reimbursement Specialist.
• 1–2 years of Customer Service or Sales experience.

Core Competencies

• Problem Solving: The ability to navigate ambiguous payer responses and find solutions.
• Collaboration: Working effectively both individually and within a team-based environment.
• Adaptability: Achieving results and maintaining quality in a fast-paced, tech-forward environment.

Salary & Benefits

• Pay: $17.00 - $20.00 per hour.
• Benefits: Comprehensive Health, Vision, and Dental insurance. Retirement: 401(k) plan options.

What To Expect In The Interview Process

• Apply & meet our recruiting team
• Virtual interviews to showcase your skills
• Final onsite loop to meet the team and get to know us better
• Chat with our CEO

Why You’ll Love It Here

• Hybrid work (SF office Mon/Tues/Thurs) + catered lunches (Bay Area Positions only)
• Competitive salary, equity, and 401(k)
• Wellness stipend & great benefits (medical, dental, vision)
• Generous PTO & parental leave
• Bi-annual offsites & a collaborative, mission-driven culture