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Overview
Abax Health is a healthcare technology company dedicated to enhancing the patient's financial experience through data-driven engagement. Our platform and tech-enabled services enable hospitals and health systems to identify patients at financial risk, personalize outreach, and optimize patient access operations. By combining empathy with innovation, we empower providers to improve outcomes and drive operational performance.
Mission & Vision
Ensure that every patient receives the care they need, when they need it. To be the trusted source of patient access innovation increasing revenue and transforming patient access and financial clearance by reducing administrative burdens, uncovering untapped revenue, and improving the financial and clinical outcomes for patients and health systems across the United States.
Location: United States | Remote
Location Eligibility: Candidates must currently reside in the United States. This role is not available to residents of California, New Jersey, New York, Montana, Hawaii, or Alaska, or of any U.S. territory.
Summary
The Patient Access Concierge independently manages a broader range of patient access activities, including patient registration, insurance verification, appointment scheduling, and prior authorizations, with minimal oversight.
You will serve as a knowledgeable resource for patients, providers, clients, and newer team members, resolving more advanced insurance and scheduling issues and helping spot opportunities to improve workflows. This role suits someone who has mastered the fundamentals and is ready to work with greater independence, take on more complex cases, and begin informally mentoring others.
Responsibilities
Patient Registration
Accurately collect, verify, andmaintainpatient demographic, insurance, and clinical information.
Review patient accounts for completeness and resolve registration discrepancies prior to scheduled services.
Ensureall required documentation is complete and accurately recorded.
Insurance Verification and Prior Authorizations
Verify insurance eligibility, benefits, referrals, and authorization requirements across a variety of payer types.
Obtain, monitor, and document prior authorizations and referrals while ensuring payer requirements are met.
Investigate and resolve complex insurance eligibility, authorization, and coverage issues independently.
Communicate authorization requirements,financial responsibility, andcoverageconcerns to patients, providers, and internal stakeholders.
Scheduling and Customer Service
Schedule, reschedule, and coordinate appointments while following client and provider scheduling guidelines.
Serve as a point of contact for escalated patient, provider, and client inquiries.
Deliver exceptional customer service while resolving complex scheduling and patient access issues.
Build collaborative relationships with provider offices, insurance carriers, and internal departments to supporttimelypatient care.
Documentation and Compliance
Maintain complete,accurate, andtimelydocumentation within all assigned systems.
Ensure compliance with HIPAA, client requirements, payer guidelines, and organizational policies.
Identifydocumentation or workflow issues and takeappropriate correctiveaction.
Operational Excellence
Meet and exceed established productivity, quality, attendance, and service expectations, along with all other relevant team metrics.
Assistwith onboarding and training of new team members by sharing knowledge and best practices.
Identifyworkflow inefficiencies and recommend process improvements that enhance operational performance.
Adapt to changing payer requirements, client expectations, and operational priorities.
Participate in departmental meetings, quality initiatives, and continuous improvement efforts.
Perform other duties as assigned.
Qualifications and Experience
High School Diploma or GEDrequired.
One to four years of Patient Access, Medical Scheduling, Registration, or related healthcare experiencerequired.
Demonstrated ability to independently verify insurance eligibility, obtain prior authorizations, and manage appointment scheduling.
Experience resolving moderately complex insurance, authorization, or patient access issues with minimal guidance.
Experience using electronic medical record (EMR) systems such as Epic or Cerner preferred.
Working knowledge of commercial insurance, Medicare, Medicaid, and managed care plans.
