Senior Patient Affairs Specialist

Job Duties

• Obtain benefits and verify insurance authorizations for medical procedures, treatments, and services in a timely and efficient manner to prevent delays in patient care.
• Confirms provider’s participation status with patient’s insurance plan/network.
• Interprets patient benefits to include deductibles, copayments, and coinsurance.
• Affords assistance to patients in understanding their insurance benefits and coverage limitations.
• Answers inbound calls and addresses emails from patients, physicians, and departments in a timely manner.
• Reliably routes patients to the appropriate destination with warm transfers whenever possible.
• Reviews, updates, and maintains accurate demographic and insurance data in the EMR system.
• Maintains accurate and complete documentation of all inquiries.
• Proactively communicates with leadership regarding identified potential issues and concerns.

Minimum Qualifications

• A high school diploma or GED.
• Three years of relevant experience.

Preferred Qualifications

• EPIC experience.
• Medical insurance verification, prior authorization, or related healthcare administrative work.