Customer Access and Reimbursement Specialist

JOB SUMMARY

The Customer Access and Reimbursement Specialist plays a crucial role in ensuring seamless access to services and reimbursement for patients. This position is responsible for overseeing patient financial assistance programs, verification of benefits, prior authorization, and managing out-of-pocket balances.

KEY RESPONSIBILITES

· Coordinate efforts to ensure timely access to services for patients by verifying insurance coverage and benefits.

· Assist patients in navigating the reimbursement process, including providing information on out-of-pocket costs and financial assistance programs.

· Manage prior authorization requirements by liaising with healthcare providers, payers, and patients to obtain necessary approvals.

· Review and reconcile patient balances, ensuring accurate billing and collections processes.

· Provide support and guidance to patients on financial assistance programs and payment options.

· Collaborate with internal departments, including billing, clinical, and customer experience teams, to resolve patient inquiries and concerns.

· Maintain accurate and up-to-date documentation of patient interactions and financial assistance applications.

· Stay informed about changes in healthcare regulations and reimbursement policies that may impact patient access and reimbursement.

· Participate in continuous process improvement initiatives to enhance efficiency and effectiveness in patient access and reimbursement processes.

· Adhere to all relevant compliance and privacy regulations in handling patient information and financial data.

· Perform other job-related duties as assigned.

QUALIFICATIONS

Required

· Education: Bachelor's degree in a related field.

· Experience: Minimum of 2 years of experience in a healthcare setting, preferably in revenue cycle operations or patient access.

COMPETENCIES

• Proficiency in navigating and utilizing healthcare billing systems.
• Strong understanding of insurance verification, prior authorization, and reimbursement processes.
• Excellent communication skills with the ability to interact effectively with patients, payers, and internal stakeholders.
• Detail-oriented with strong organizational and time management skills.
• Ability to work independently and collaboratively in a fast-paced environment.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

• Frequently required to sit.
• Frequently required to stand.
• Frequently required to utilize hand and finger dexterity.
• Frequently required to talk or hear.

EEO Statement:

Baylor Genetics is proud to be an equal opportunity employer committed to fostering an inclusive and diverse workplace. We welcome and encourage applicants from all backgrounds to apply. We do not discriminate on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, age, veteran status, disability, genetic information, pregnancy, childbirth, or any other status protected by applicable federal, state, or local law. If you need an accommodation during the application process, please contact our Human Resources team.