Patient Access Specialist jobs in United States
cer-icon
Apply on Employer Site
company-logo

SPR · 10 hours ago

Patient Access Specialist

SPR is a company that focuses on patient access solutions, and they are seeking a Patient Access Specialist to support various functions related to patient access to the SPRINT PNS System. The role involves collaborating with payers, providers, and patients, verifying benefits and eligibility, and processing authorizations.

Health CareMedicalTherapeutics

Responsibilities

Provide superior customer support to external customers, patient candidates, and the internal SPR Sales Organization
Verify medical benefits and facilitate authorization process fulfilling payer requirements to enable access to treatment
Facilitate pre-service appeal requests for commercial insurance companies, government payers, workers compensation, and liability insurance for coverage of SPRINT PNS
Follow-up and track all requests to insurance companies
Provide frequent and on-going communications to providers, patients, payers, and internal teams
Coordinate with providers and patients to obtain appropriate authorizations and necessary documentation related to the patient access process
Assist in identifying and analyzing payer trends/issues impacting patient and market access
Maintain precise documentation in databases and files
Perform other duties and projects as assigned by management

Qualification

Health insurance experiencePrior authorizationVerification of benefitsHIPAAMicrosoft Office proficiencyCustomer Service experienceCRM platform experience

Required

A minimum of 2 years of related health insurance experience in one or more of the following areas: coverage, health insurance claims, prior authorization, reimbursement, and verification of benefits for Medicare, Medicaid, and Commercial payers
Preferred knowledge of medical benefits, insurance standards, investigation processes, and compliance requirements for reimbursement for Medicare, Medicaid, Commercial, Workers Compensation, and liability insurances
Knowledge of HIPAA and related patient privacy laws
Proficiency in Microsoft Office Software, email programs, and online information systems

Preferred

Medical Device experience preferred
Customer Service and/or Call Center experience a plus
Experience working in a CRM platform, ideally Salesforce, preferred

Benefits

Medical
Dental
Vision
Short- and long-term disability insurances
Life insurance
401k matching
Paid time off
Holiday pay
Wellness activities

Company

SPR

twittertwittertwitter
company-logo
SPR is a privately held medical device company, providing patients with a non-opioid, minimally invasive pain treatment option.

Funding

Current Stage
Late Stage
Total Funding
$188.76M
Key Investors
Revelation PartnersSLR Capital PartnersU.S. Department of Defense
2024-02-01Series D· $25M
2024-02-01Debt Financing· $60M
2021-10-18Series D· $37M

Leadership Team

leader-logo
Maria E. Bennett
President, CEO & Founder
linkedin
leader-logo
Joseph Boggs
Chief Scientific Officer (CSO) and Senior Vice President, Research and Development
linkedin
Company data provided by crunchbase