Access Specialist

• Serve as an initial point of contact for referrals, patients, families, and referral sources as needed
• Verify patient insurance coverage, eligibility, benefits, and financial responsibility
• Obtain preauthorizations and approvals for hospice services via phone, fax, and payer portals
• Accurately enter and maintain patient demographics, insurance information, and documentation in the EMR/EHR
• Schedule initial provider appointments and assessment nurse visits
• Collect and review data to support eligibility for hospice and palliative care services
• Communicate clearly with patients and families regarding insurance coverage and potential financial obligations
• Resolve insurance-related discrepancies efficiently and ensure accurate benefit coordination
• Maintain timely communication with physicians, referral sources, and internal interdisciplinary teams
• Support referral processing, intake workflows, and medical record retrieval
• Stay current on payer requirements, insurance regulations, and compliance standards (including HIPAA)
• Provide exceptional customer service through professional, compassionate communication
• Demonstrate proficiency with the Perfect Phone Encounter process
• Assist in supporting administrative functions and team collaboration across departments
• Perform additional duties as assigned

• High school diploma or GED required
• associate degree or higher preferred
• Minimum of one year of healthcare administrative experience, with a strong focus on insurance verification and benefits coordination
• Strong knowledge of insurance processes, including eligibility, authorizations, and coverage coordination
• Experience working with insurance providers via phone, fax, and online portals
• Familiarity with out-of-state payors preferred
• Proficiency in Microsoft Office and EMR/EHR systems
• Excellent organizational skills with strong attention to detail
• Ability to manage multiple priorities in a fast-paced environment
• Strong verbal and written communication skills
• Professional phone presence with a customer service mindset
• Ability to work both independently and collaboratively within a team environment
• Reliable transportation and valid driver's license

Familiarity with out-of-state payors preferred

• Health, Dental & Vision Insurance
• Retirement Plan with Company Match
• Paid Time Off (PTO)
• Paid Volunteer Time
• Thrift Shop Discount
• Voluntary Benefits including Critical Illness