Top 12 Patient access specialist Jobs in Warren Oh

Medical Insurance Verification/Authorization Specialist
Action Physical Therapy & Rehabilitation, Inc. —Hubbard, OH
- Part-time
- Microsoft Excel
- Medical office experience
- Physical & Rehabilitation Medicine
Quick Apply
Billing Specialist
The Primary Health Network —Sharon, PA
- From $16 an hour
- Monday to Friday
- Office
- High school diploma or GED
- Home Health
- COVID-19 protective measures
- Paid holidays
Quick Apply
Patient Access Specialist - PART TIME
Ensemble RCM LLC —Warren, OH
- $17.00 - $18.15 an hour
- Part-time
- Hospital
- Customer service
- High school diploma or GED
- Tuition reimbursement
1d
Patient Access Specialist - PRN
Ensemble RCM LLC —Warren, OH
- $17.00 - $18.15 an hour
- Part-time
- Acute care
- Hospital
- Customer service
- Tuition reimbursement
6d
Associate Specialist, Patient Access
Ensemble RCM LLC —Boardman, OH
- $17.00 - $18.15 an hour
- Full-time
- Hospital
- Customer service
- High school diploma or GED
- Tuition reimbursement
2d
Remote Healthcare Support Specialist | $16.00/hr
Carenet Health —United States
- $16 an hour
- Overtime
- Remote
- Microsoft Outlook
- Customer service
- Computer literacy
- Paid holidays
- Health insurance
8d

More jobs to discover

Find similar jobs that you might be interested in.

Medical Billing Specialist
Emergency Billing Services —Lake Milton, OH
Verify patient insurance coverage, benefits, and eligibility using EMR (Electronic Medical Record) systems and EHR (Electronic Health Record) management tools.
$17 - $20 an hour
Quick Apply
Medical Billing Specialist
ONE Health Ohio —Youngstown, OH
Answers questions from patients, clerical staff, and insurance companies. 401(K) with dollar-for-dollar matching (up to 4%). Generous Paid Time Off (PTO).
Quick Apply

Show more similar jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Patient Onboarding Specialist
AndHealth —Columbus, OH
Serve as the first problem-solver for incoming calls from patients, partners, or other stakeholders – diagnose the need, resolve directly when possible, or…
Quick Apply
Information Desk Supervisor
Nationwide Children's Hospital —Columbus, OH
Associate’s degree in business, healthcare, hospitality or related field, or equivalent combination of education and experience, required.

Show more jobs in cities nearby

I want to receive the latest job alert for patient access specialist in warren oh

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

patient access specialist jobs near warren oh

Billing Specialist jobs in Sharon, PA

Patient Access Specialist jobs in Warren, OH

Billing Specialist jobs in Warren, MI

Medical Billing Coding jobs in Hickory, NC

Billing Specialist jobs in Mequon, WI

Billing Specialist jobs in Irvine, CA

Medical Billing jobs in Milwaukee, WI

Child Development Specialist jobs in Sacramento, CA

Billing Specialist jobs in Tomball, TX

Crude Oil Scheduler jobs in Houston, TX

Scheduler jobs in San Antonio, TX

Scheduler Remote jobs in Michigan

Remote Radiology Scheduler jobs in Florida

Remote Work From Home Scheduler jobs in Minnesota

Medical Scheduler jobs in Knoxville, TN

Insurance Verification Specialist jobs in Colorado Springs, CO

Insurance Verification Specialist jobs in Katy, TX

Revenue Cycle Specialist jobs in California

Insurance Verification Specialist jobs in Carmel, IN

Insurance Verification Specialist jobs in Los Angeles, CA

Medical Insurance Verification/Authorization Specialist

Action Physical Therapy & Rehabilitation, Inc.
Hubbard, OH

Quick Apply

Job Details

Part-time

Qualifications

Customer communication
Teamwork
Microsoft Excel
HIPAA compliance
Medicare
Electronic health records (EHR) management
HIPAA
Administrative experience
Medical administrative support
ICD-10
Organizational skills
Patient interaction
Productivity software
Clinical confidentiality policies
Medical terminology

Full Job Description

Medical Insurance Verification and Authorization Specialist

Overview

Action Physical Therapy & Rehabilitation, Inc. is seeking a dependable and detail-oriented Medical Insurance Verification and Authorization Specialist to join our outpatient physical therapy team.

This position plays an important role in helping patients begin and continue therapy without unnecessary delays. The specialist will verify insurance benefits, obtain prior authorizations, monitor visit limits, respond to insurance documentation requests, and assist with selected accounts receivable aging follow-up.

The ideal candidate has experience working with health insurance companies, understands outpatient therapy benefits, and can communicate effectively with patients, therapists, physician offices, and insurance representatives.

Duties and Responsibilities

Verify patient insurance eligibility and outpatient physical therapy benefits using insurance portals, electronic health record systems, and direct communication with insurance companies.
Confirm deductibles, copayments, coinsurance, visit limits, referral requirements, authorization requirements, and other plan-specific restrictions.
Obtain and track prior authorizations for physical therapy evaluations and treatment visits.
Monitor authorization expiration dates, approved visit counts, and remaining visits to prevent interruptions in patient care.
Request additional visits or authorization extensions when medically necessary.
Review physical therapy evaluations, progress notes, plans of care, physician referrals, CPT codes, diagnosis codes, and other clinical information needed to support authorization requests.
Communicate documentation requirements and authorization updates to therapists, front-office staff, billing personnel, and clinic supervisors.
Respond to insurance company requests for medical records, evaluations, progress reports, plans of care, physician certifications, and other supporting documentation.
Follow up with therapists and clinic staff when documentation is incomplete or additional information is needed.
Submit requested documentation through insurance portals, fax, mail, or other approved methods while maintaining accurate records of all submissions.
Follow up on pending, delayed, or denied authorization requests and assist with reconsiderations or appeals when appropriate.
Communicate insurance coverage information and patient financial responsibilities clearly and professionally to patients.
Assist with reviewing accounts receivable aging reports and following up on selected unpaid, delayed, or denied insurance claims.
Contact insurance companies to determine claim status, identify missing information, and help resolve authorization-related or documentation-related payment issues.
Document insurance verification, authorization activity, claim follow-up, and correspondence accurately in the appropriate system.
Maintain patient confidentiality and comply with HIPAA requirements and company policies.
Stay informed of changes involving insurance requirements, managed care policies, Medicare rules, therapy visit limits, and authorization procedures.
Perform other administrative, billing, or insurance-related duties as assigned.

Requirements

Previous experience in a medical office, outpatient therapy clinic, billing department, or healthcare administrative position is preferred.
Experience with insurance verification, prior authorization, medical billing, accounts receivable, or claim follow-up is strongly preferred.
Familiarity with outpatient physical therapy benefits, therapy visit limits, referrals, plans of care, and authorization requirements is preferred.
Basic understanding of CPT codes, ICD-10 diagnosis codes, medical terminology, and healthcare documentation.
Experience working with electronic health record systems, payer websites, and insurance portals.
Proficiency with Microsoft Word, Excel, email, and general office technology.
Strong organizational skills and attention to detail.
Ability to manage multiple authorizations, documentation requests, and follow-up tasks at the same time.
Excellent written and verbal communication skills.
Ability to communicate professionally with patients, therapists, physician offices, insurance companies, and coworkers.
Understanding of HIPAA requirements and the importance of maintaining patient confidentiality.
Ability to work independently while contributing to a collaborative, patient-focused team.

Preferred Qualifications

Experience in an outpatient physical therapy or rehabilitation setting.
Experience obtaining authorizations for physical therapy, occupational therapy, or other rehabilitation services.
Experience reviewing accounts receivable aging reports and following up on unpaid or denied claims.
Familiarity with Medicare, Medicaid, commercial insurance, workers’ compensation, and managed care plans.

Join Action Physical Therapy & Rehabilitation, Inc. and help ensure our patients receive timely access to the therapy services they need. This position is essential to supporting patient care, maintaining accurate insurance information, and improving the efficiency of our authorization and reimbursement processes.

Work Location: In person

Quick Apply

Refine Your Search

patient access specialist jobs in warren oh

Medical Insurance Verification/Authorization Specialist

Billing Specialist

Patient Access Specialist - PART TIME

Patient Access Specialist - PRN

Associate Specialist, Patient Access

Remote Healthcare Support Specialist | $16.00/hr

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for patient access specialist in warren oh

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected