Patient Access & Care Team Rep

This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Patient Access & Care Team Rep based in the United States. Join a patient-focused healthcare team dedicated to making access to care simple, efficient, and welcoming. As a Patient Access & Care Team Representative, you will serve as a primary point of contact for patients and customers, helping them navigate healthcare services and resolve inquiries. You will support appointment scheduling, patient registration, insurance verification, and coordination with clinical teams. Through clear communication, accurate documentation, and attentive service, you will help ensure patients receive the right assistance at the right time. This fully remote, full-time opportunity is ideal for someone who enjoys problem-solving, multitasking, and working in a fast-paced healthcare environment. Comprehensive training and ongoing development opportunities will help you build your skills while making a meaningful difference in the patient experience. Accountabilities - Patient Support and Customer Service: Serve as the first point of contact for incoming patient and customer inquiries, provide accurate information, clarify needs, explain available options, and resolve questions in accordance with established service standards. - Appointment Scheduling and Coordination: Schedule, cancel, and reschedule appointments, coordinate additions to provider schedules, and connect patients with the appropriate facilities, practices, and healthcare professionals. - Patient Information Management: Collect and update patient demographics, insurance details, and other required information. Verify medical records and ensure all information is complete, accurate, and documented appropriately in electronic health record systems.

- Insurance Verification: Confirm insurance coverage and apply knowledge of government and third-party payer requirements to support accurate patient registration and access to care. - Clinical Call Routing and Escalation: Recognize potentially urgent or emergency situations, follow established protocols, and promptly transfer symptomatic or critical calls to registered nurses for appropriate triage. - Medication and Provider Coordination: Enter medication refill requests for clinical evaluation, page providers when necessary, and route inquiries to the appropriate departments for follow-up and resolution. - Outbound Communication and Follow-Up: Make outbound calls when required to resolve outstanding questions, coordinate patient needs, and ensure appropriate follow-up. - Technical Assistance: Provide basic troubleshooting support for online applications, systems, and access-related issues, escalating complex technical problems when needed. - Documentation and Database Maintenance: Accurately document each interaction in the electronic medical record, maintain provider and marketing databases, and complete required reports and forms. - Healthcare Navigation and Referrals: Help patients navigate available services, provide relevant organizational information, and support appropriate referrals while maintaining accurate records. - Process Compliance and Continuous Improvement: Follow established workflows, maintain proficiency with departmental information systems, protect patient information, and contribute to additional operational responsibilities as needed. Requirements - Education: High school diploma or equivalent. - Experience: Typically 0–1 year of experience in a call center, healthcare setting, customer service role, or another relevant field. - Customer Service Skills: Strong commitment to providing a positive patient experience, with the ability to listen actively, ask clarifying questions, understand customer needs, and deliver appropriate solutions.