Patient Access Specialist - Specialty Clinic

Patient Access Specialist - Specialty Clinic

Position Summary

The Patient Access specialist is responsible for supporting the specialty clinic by coordinating patient scheduling, managing referrals, completing prior authorizations, and verifying insurance coverage. This role ensures efficient clinic workflow while delivering excellent customer service to patients, providers, and external partners.

Primary Responsibilities

Schedule patient appointments for specialty clinic services

Coordinate incoming and outgoing referrals with providers and external organizations

Complete prior authorizations in accordance with payer requirements

Perform insurance verification to ensure eligibility and coverage accuracy

Conduct patient outreach calls related to appointments

Maintain accurate and timely documentation within the electronic health record (EHR)

Assist with clinic workflow coordination and provider scheduling needs

Serve as a point of contact for patients regarding scheduling and administrative questions

Ensure compliance with all regulatory, privacy (HIPAA), and organizational standards

Qualifications

Required:

High school diploma or equivalent

Strong communication and organizational skills

Preferred:

Experience with referrals, prior authorizations, or insurance verification

Experience in a healthcare or medical office setting

Knowledge of medical terminology