Consumer Access Specialist Call Center Position

This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Consumer Access Specialist – Call Center Position based in the United States. In this fully remote role, you will serve as a key point of contact for patients navigating the financial and administrative aspects of their healthcare journey. You will handle a high volume of inbound and outbound calls, helping patients understand their financial responsibilities, insurance coverage, and available payment options. Working in a fast-paced healthcare call center, you will support accurate patient registration, insurance verification, pre-authorization, and payment processing. You will collaborate with clinical teams, insurance providers, and internal departments to ensure patients receive timely information and coordinated support. Your ability to communicate with empathy, maintain accurate records, and manage sensitive financial conversations will directly contribute to a positive patient experience. This opportunity is ideal for a customer-focused professional who thrives in a structured environment and wants to make a meaningful difference in healthcare access. Accountabilities - Manage patient communications: Handle a high volume of automatically routed inbound calls and initiate outbound calls to assist patients with questions about healthcare services, financial responsibilities, insurance coverage, and administrative requirements. - Explain patient financial responsibilities: Prepare accurate estimates of out-of-pocket costs, communicate expected patient balances, collect payments, and establish payment plans in accordance with applicable procedures. - Verify insurance eligibility and benefits: Contact insurance providers to confirm coverage, validate policy details, and obtain required pre-authorizations within established timeframes.

- Support patient registration: Register patients for healthcare services, collect and verify demographic information, confirm insurance details, and help prevent duplicate medical records. - Ensure regulatory compliance: Conduct Medicare compliance reviews and issue Advance Beneficiary Notices of Noncoverage when required, following applicable policies and procedures. - Coordinate pre-authorization activities: Work with utilization management staff to resolve authorization issues, communicate relevant information, and ensure patients understand the logistical requirements for their care. - Provide financial guidance and support: Explain payment options clearly and professionally, address patient concerns, and help connect individuals with appropriate financial resources when additional assistance is needed. - Maintain accurate documentation: Record patient and insurance representative interactions, payer decisions, coverage information, payment arrangements, and other relevant details accurately and consistently. - Process payments and reconcile cash: Perform cashiering activities, collect payments, and complete cash reconciliation tasks in accordance with established financial controls. - Coordinate across departments: Facilitate communication between clinical teams, ancillary services, and consumer access departments to support efficient workflows and a seamless patient experience. - Maintain operational coverage: Provide consistent coverage of assigned work areas throughout scheduled shifts, arrange relief coverage when necessary, and assist with switchboard operations by answering and transferring calls as needed. - Meet performance expectations: Maintain productivity, service quality, attendance, and scheduling standards while managing multiple tasks in a high-volume call center environment. - Contribute to team effectiveness: Participate in departmental meetings, maintain positive working relationships, communicate operational concerns, and perform additional duties as assigned.