患者服务专员（固定期限合同）
Patient Access Specialist (Fixed-Term Contract)
关于公司：Artera 是一家人工智能初创公司，开发医疗人工智能测试，为癌症患者提供个性化治疗。Artera 的使命是为全球的患者和医生提供个性化的医疗决策。
职位类型：固定期限合同（约 3–6 个月）
患者服务专员（固定期限合同）将在一个临时特别任务期间支持 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协作。
核心职责：
- 以专业、同理心和礼貌的方式处理大量来电和外拨电话。
- 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。
- 向患者解释其保险覆盖范围、预估自付费用以及可获得的财务援助项目。
- 管理财务援助项目。
- 提交并管理事先授权案例，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。
- 获取并管理所有必要的文件，同时与收入周期和客户成功团队合作。
- 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、特殊项目或流程改进计划。
- 教育和经验要求：
- 需要专科学位。
- 1–3 年相关医疗或患者服务经验。
- 在高流量呼叫中心或面向患者的医疗环境工作的经验优先。
- 熟悉医疗福利、保险政策、受益人协调（COB）、事先授权流程以及 Medicare、Medicaid 和商业保险计划的报销要求。
- 以客户为中心的态度，能够在高压环境下保持冷静和专业。
- 出色的组织能力、问题解决能力和沟通技巧。
- 能够快速适应并完成任务。
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.
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.
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.
Originally posted on Himalayas