Patient Access Advisor

About the role

The Patient Access Advisor is responsible for completing insurance verification, medical necessity validation, point of services collections, obtaining authorizations or validating authorizations have been secured for procedures including high cost drugs. This role ensures accurate collection and verification of patient information while delivering excellent customer service.

Responsibilities

• Explain required forms and obtain patient signatures as appropriate
• Verify insurance coverage and document prior authorizations
• Validate medical necessity for ordered services
• Collect patient out-of-pocket payments
• Ensure physician orders are present and compliant with hospital policy
• Maintain accurate documentation in accordance with regulatory and organizational standards

Experience

Experience in an acute care hospital, physician's office, or other healthcare setting is preferred, but not required.

Knowledge

Knowledge of office procedures and equipment. Familiarity with health insurance processes and medical terminology preferred.

Skills

• Strong verbal and written communication skills
• Proficient keyboarding and data entry abilities
• Ability to operate standard office equipment
• Professional telephone etiquette
• Strong attention to detail and ability to process detailed information accurately

Qualifications

• High School Diploma or GED required
• CHAA/CHAM certification preferred