Patient Access Specialist at Kerecis LLC

Minneapolis, Minnesota, United States -

Full Time

Start Date

Immediate

Expiry Date

13 Jan, 26

Salary

0.0

Posted On

15 Oct, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Verbal Communication, Written Communication, Patient Care, Teamwork, Independent Work, Problem Solving, Medical Terminology, Medical Insurance

Industry

Medical Equipment Manufacturing

Description

Description The Patient Access Specialist is responsible for performing detailed insurance benefit verifications while maintaining effective communication and attention to detail. This role is a part of the Customer Operations Department. The Patient Access Specialist is based either on-site in a Kerecis office or, in areas where Kerecis does not have a location, in a home office. The role reports to the Patient Access Specialist Manager. Essential Functions Protect confidential patient health information (PHI) at all stages of the verification of benefits process Verify medical benefits for patients seeking treatment with Kerecis products including detailed review of patient responsibility for Kerecis treatment Verify authorization requirements and initiate prior authorizations while considering payer coverage criteria information Prepare and send insurance benefit verification results to healthcare providers on deadline Report and resolve any payer delays/challenges and/or escalated complaints Collaborate with Market Access and Reimbursement teams Maintain an elevated quality of work to facilitate improved access of treatment for patients in need Other tasks and responsibilities as assigned Requirements Competencies & Attributes Strong verbal and written communication skills Passionate about providing patients with access to care Ability to work on a team aiming for collective success Ability to work independently and problem solve Knowledge of medical terminology Working understanding of medical insurance Education & Experience Highschool diploma or equivalent required, bachelor’s degree preferred Min 1 year working with prior authorization/insurance verifications preferred This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time. Kerecis is an equal opportunity employer.

Responsibilities

The Patient Access Specialist is responsible for performing detailed insurance benefit verifications and maintaining effective communication. This role involves verifying medical benefits, preparing verification results, and collaborating with other teams to improve patient access to treatment.