Patient Access Representative

Job description

New York City's Largest Dermatology Practice We're a full-service dermatology practice with 50+ locations across Manhattan, Brooklyn, Queens and Long Island. Now Delaware and Philly too! The Patient Access Specialist performs front-end patient access activities to ensure accurate and complete eligibility verification, insurance information, and scheduling support. This role collaborates with the Patient Access Supervisor and other Revenue Cycle teammates to verify coverage, obtain pre-authorizations or referrals as required, update payer information, and communicate any insurance concerns to patients. The Specialist supports timely patient scheduling and contributes to minimizing appointment delays and revenue cycle bottlenecks. Key Responsibilities: · Perform pre-visit eligibility verification and insurance validation for upcoming appointments using payer portals and internal systems. · Confirm current benefits, coverage, network status, and effective dates; identify potential coverage gaps or pre-authorization/referral requirements. · Obtain and document necessary authorizations, referrals, or pre-certifications as required by payer policies and practice guidelines. · Notify pati...