Patient Access Specialist - Home & Community Based Services - FT Days

Sanford Health

Iowa, United States · Posted Jul 13


Job description

Responsibilities: The Patient Access Specialist validates insurance eligibility and secures prior authorizations for long-term care services such as home health and hospice. They coordinate with third-party payers and referral sources to ensure medical necessity and smooth patient admissions.

Requirements: A minimum of two years of experience in a medical setting and a high school diploma or equivalent are preferred. Candidates must possess a strong understanding of medical terminology, insurance processes, and computer proficiency.

Key skills: Insurance Eligibility Verification, Prior Authorization, Medical Terminology, Care Coordination, EMR Documentation, Patient Registration, Medical Necessity Validation, Benefit Coverage Analysis, Durable Medical Equipment (DME) Authorization, Interdisciplinary Collaboration

Keywords: Home Health, Hospice, Insurance Eligibility, Prior Authorization, EMR, Medical Necessity, Durable Medical Equipment, Patient Access, Healthcare Administration, Care Coordination, Long Term Care, Benefit Coverage

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