Remote job
Therapy Access Specialist (Contractor)
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About this role
Role overview
Provide operational support that helps patients access prescribed therapy by confirming insurance coverage and obtaining required authorizations. The work combines patient and provider outreach, benefit verification, referral data entry, and careful recordkeeping. This is a 1099 contractor position, remote within the United States.
Responsibilities - Confirm active insurance coverage by contacting payer representatives and using online payer portals. - Check eligibility and submit prior authorization requests, following applicable payer processes. - Contact new patient referrals to confirm insurance details and enter referral information into the customer relationship management system. - Record calls and interactions accurately in line with quality, regulatory, and privacy requirements. - Share benefit verification and authorization details with sales support colleagues so cases can move forward accurately. - Provide telephone and administrative support to the team as needed.
Requirements - 3–5 years of medical insurance experience, preferably in a healthcare company, including familiarity with benefits and eligibility. - High school diploma or equivalent; a bachelor’s degree is strongly preferred. - Computer proficiency with CRM systems and payer portals, including Salesforce, NaviNet, or Availity. - Strong organization, attention to detail, and customer service skills. - Clear written and verbal communication and the ability to handle confidential information. - Ability to perform desk-based work involving extended computer use, data entry, document review, and phone calls. - Must be authorized to work full time in the United States, or eligible through a sponsorship route the organization can support.