患者接待专员
Patient Access Specialist
关于公司：Artera 是一家人工智能初创公司，致力于开发医疗人工智能测试，为癌症患者提供个性化的治疗方案。Artera 的使命是为全球的患者和医生提供个性化的医疗决策。
患者服务专员（固定期限合同）将在一个临时特殊任务期间支持 Artera 的患者服务团队，专注于管理患者沟通并确保卓越的患者体验。该职位主要负责处理大量来电和外拨电话，验证保险信息，向患者解释保险覆盖范围和支付选项，并准确记录互动情况。理想的候选人应以客户为中心，在快节奏的环境中表现出色，并能够在独立工作的同时与内部团队紧密合作。
员工平等机会：在 Artera，我们重视来自不同背景的个人，共同为患者和医生开发创新解决方案。作为一家平等就业机会的雇主，我们不基于种族、肤色、宗教、国籍、年龄、性别（包括怀孕）、身体或精神残疾、健康状况、基因信息、性别认同或表达、性取向、婚姻状况、受保护的退伍军人身份或其他任何受法律保护的特征进行歧视。
核心职责：
- 以专业、同理心和礼貌的方式处理大量患者来电和外拨电话。
- 使用在线工具或直接联系保险公司，验证患者资格和保险福利。
- 向患者解释保险覆盖范围、预估自付费用以及可用的财务援助项目。
- 管理财务援助项目。
- 提交并管理预先授权案件，确保及时跟进和解决。
- 在计费系统中准确记录所有患者互动和后续活动。
- 获取和管理所有必要的文件，同时与收入周期和客户成功团队协作。
- 与患者和内部利益相关者建立积极关系，高效解决问题。
- 根据需要支持其他职责、特别项目或流程改进计划。
教育和经验要求：
- 需要获得副学士学位。
- 1–3 年相关的医疗或患者服务经验。
- 有高流量呼叫中心工作经验者优先。
查看英文原文
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.
The Patient Access Specialist 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.
Equal Employee Opportunity: At Artera, we value bringing together individuals from diverse backgrounds to develop new and innovative solutions for patients and physicians. As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, national origin, age, sex (including pregnancy), physical or mental disability, medical condition, genetic information gender identity or expression, sexual orientation, marital status, protected veteran status, or any other legally protected characteristic.
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.