Patient Access Services Specialist

Patient Access Services Specialist Pioneer Physicians Network - 3.0 Uniontown, OH Job Details Full-time $19 - $22 an hour 13 hours ago Benefits Health savings account Flexible spending account Employee assistance program Employee discount Referral program Qualifications Computer literacy Administrative experience High school diploma or GED Medical administrative support Clinical documentation Data entry Patient interaction

Full Job Description Job Title:

Patient Access Services Specialist Reports To:

Patient Access Services Manager Position Summary The Patient Navigator / Prior Authorization Specialist is a cross-functional role within the Patient Access Services Department, responsible for supporting the full continuum of patient access — from initial contact and navigation through insurance authorization and care coordination. This role serves as a key liaison between patients, providers, and payers, ensuring accurate insurance verification, timely prior authorization processing, and a seamless patient experience. The ideal candidate thrives in a fast-paced environment, demonstrates strong attention to detail, and delivers exceptional service while managing high-volume workflows. Qualifications High School Diploma, GED, or equivalent required; Medical Assistant diploma or associate degree preferred (certification preferred but not required) 2-3 years of experience in a clinical, patient access, or healthcare administrative role; primary care or pharmacy setting preferred Experience with electronic medical records; eClinicalWorks preferred Knowledge of medications, including specialty medications/infusion therapies, and DME prior authorization processes Experience with electronic prior authorization workflows and payer portals preferred Proficient in insurance plan identification and interpretation of insurance cards for accurate entry and routing Understanding of insurance eligibility verification, benefits interpretation, and downstream billing impact Basic medical terminology knowledge Proficiency in Microsoft Office (Word and Excel) and strong computer literacy Strong verbal and written communication skills Ability to prioritize tasks, manage multiple workflows, and meet established turnaround times in a high-volume environment Exceptional service orientation with a focus on patient and team experience Ability to meet productivity, quality, and service-level expectations Self-motivated with a commitment to continuous learning and professional growth Highly adaptable and resilient, with the ability to thrive in a fast-paced, ever-evolving healthcare environment Detail-oriented with strong organizational and problem-solving skills Key Responsibilities Respond to high-volume patient calls, messages, and requests from patients, representatives, clinical staff, and community partners Monitor and manage communications across multiple platforms (phone, EMR, fax, and electronic work queues) in a timely and organized manner Ensure timely, accurate, and professional resolution of all communications Verify insurance eligibility and interpret benefits to support accurate data entry and workflow routing Submit prior authorization requests with required clinical documentation using EMR workflows and payer portals Track authorization status, follow up with payers, and provide updates to patients and care teams Support denial management and appeals processes, including follow-up and escalation as needed Document all interactions and workflows accurately within the electronic medical record Ensure accuracy and completeness of all data entry to support compliance, reimbursement, and patient safety Collaborate with providers, clinical staff, and operational teams to support care coordination and timely access to services Participate in team meetings, training sessions, and continuous improvement initiatives Maintain compliance with all HIPAA, OSHA, and organizational confidentiality standards Perform other duties as assigned Physical Demands Requires sitting or standing for extended periods of time Occasional bending, stretching, lifting, and stooping may be required Manual dexterity sufficient to operate standard office equipment including telephone, keyboard, copier, and fax machine Normal range of hearing and vision required Must be able to communicate effectively with patients, staff, and the community Ability to work flexible hours as needed

Job Type:

Full-time Pay:

$19.00 - $22.00 per hour

Benefits:

Employee assistance program Employee discount Flexible spending account Health savings account Referral program

Medical Specialty:

Primary Care Work Location:

In person