Patient Access Specialist

Position Summary AdvantixxRCM is seeking an experienced Patient Access Specialist to support the front end of the revenue cycle for our healthcare clients. This position is responsible for insurance eligibility verification, benefits verification, prior authorization, referral requirements, patient coverage review, and identification of potential reimbursement issues before services are rendered . The Patient Access Specialist plays an important role in preventing avoidable denials and ensuring healthcare providers have accurate insurance information before treating patients. Essential Duties & Responsibilities Verify patient insurance eligibility before scheduled services. Confirm active coverage and effective dates. Verify patient demographics and insurance information. Verify primary and secondary insurance coverage. Identify coordination-of-benefits issues. Verify provider participation/network status when appropriate. Review payer-specific requirements. Determine whether prior authorization is required. Determine whether a referral is required. Submit prior authorization requests. Obtain and submit supporting clinical documentation as required. Follow up with insurance companies regarding pending authorization requests. Track authorization status through determination. Document authorization numbers, effective dates, approved services/units, and expiration dates. Monitor existing authorizations to prevent expiration or exhaustion of approved visits/units. Coordinate