Patient Access Specialist (Fixed-Term Contract)
Job Description
About Us: Artera is an AI startup that develops medical artificial intelligence tests to personalize therapy for cancer patients. Artera is on a mission to personalize medical decisions for patients and physicians on a global scale.
Position Type: Fixed-Term Contract (Approximately 3–6 Months)
The Patient Access Specialist (Fixed-Term Contract) supports Artera's Patient Access team during a temporary special assignment focused on managing patient communications and ensuring an exceptional patient experience. This role is primarily responsible for handling a high volume of inbound and outbound patient calls, verifying insurance information, educating patients on coverage and payment options, and accurately documenting interactions. The ideal candidate is customer-focused, thrives in a fast-paced environment, and is comfortable working independently while collaborating closely with internal teams.
Essential Responsibilities:
- Manage a high volume of inbound and outbound patient calls with professionalism, empathy, and courtesy.
- Verify patient eligibility and insurance benefits using online tools or by contacting insurers directly.
- Educate patients about their insurance coverage, estimated out-of-pocket costs, and available financial assistance programs.
- Administer financial assistance programs.
- Submit and manage prior authorization cases, ensuring timely follow-up and resolution.
- Accurately document all patient interactions and follow-up activities within the billing system.
- Obtain and manage all necessary documentation while collaborating with Revenue Cycle and Customer Success teams.
- Build positive relationships with patients and internal stakeholders to resolve issues efficiently.
- Support additional duties, special projects, or process improvement initiatives as needed.
Education and Experience Requirements:
- Associate's degree required.
- 1–3 years of relevant healthcare or patient access experience.
- Experience working in a high-volume call center or patient-facing healthcare environment strongly preferred.
- Strong knowledge of medical benefits, insurance policies, coordination of benefits (COB), prior authorization workflows, and payer requirements for reimbursement from Medicare, Medicaid, and commercial insurance plans.
- Customer-focused approach with the ability to remain calm and professional in high-pressure situations.
- Exceptional organizational, problem-solving, and communication skills.
- Ability to quickly learn new systems, tools, and processes.
- Experience in a startup environment is a plus.
- Fluency in Spanish is preferred.
- Must be authorized to work in the United States.