Patient Access Specialist (PAS)

The Patient Access Specialist (PAS) completes core Patient Access functions from initial intake through completion of assigned patient accounts, including fax triage, entry of patient and insurance information, eligibility and benefit verification, prior authorization initiation and follow-up, resolution of missing information, and accurate account documentation. The PAS maintains ownership of assigned accounts and ensures required activities are completed accurately and within established turnaround times. This role collaborates closely with Patient Access, Revenue Cycle Management (RCM), Clinical Services, patients, referring offices, health plans, and other stakeholders. What you’ll be doing… Role Responsibilities Retrieve, review, and triage incoming faxes and other correspondence as part of the initial intake process; identify request type, urgency, required action, and missing information. Accurately enter and maintain patient demographics, insurance information, referring provider information, and other required data within Salesforce and designated systems. Prioritize STAT, urgent, and time-sensitive requests according to established procedures and assume ownership of assigned accounts through completion. Verify patient eligibility and insurance coverage using Waystar, payer portals, direct payer communication, and other authorized resources. Complete benefit verifications accurately and within established turnaround times, including review of applicable commercial and government insurance benefits, secondary coverage, and coordination of benefits when applicable. Determine whether prior authorization, referral, GAP exception, or other payer approval is required; initiate and submit requests with accurate supporting information. Complete routine follow-up on pending authorizations, respond to payer requests for additional information, and accurately document authorization status, reference numbers, effective dates, payer communication, and determinations. Escalate complex, delayed, or unresolved authorization or benefit matters according to established escalation procedures. Review accounts for missing documentation or information and proactively work toward resolution while maintaining complete and accurate account statuses and notes. Ensure completed accounts contain the information necessary to support downstream Revenue Cycle processes. Communicate professionally with patients, referring offices, health plans, Clinical Services, RCM, and other stakeholders; provide timely account status updates and proactively communicate barriers or delays. Meet established departmental expectations for accuracy, productivity, quality, and turnaround time; participate in quality reviews, coaching, training, and process improvement initiatives. Maintain compliance with HIPAA, applicable regulations, payer requirements, and CND policies. Perform other duties as assigned. What you’ll need… Knowledge, Skills & Experience 1+ years of experience in healthcare patient access, benefit verification, prior authorization, or revenue cycle management. Laboratory experience preferred but not required. Proficiency with Salesforce, Waystar, payer portals, and laboratory billing platforms. Working knowledge of commercial and government insurance coverage. Familiarity with medical insurance eligibility, benefits, prior authorization, and medical terminology. Strong attention to detail, organization, time-management, problem-solving, and customer service skills. Ability to manage multiple accounts and competing priorities in a fast-paced, remote, collaborative environment. Professional verbal and written communication skills. Ability to manage multiple accounts and competing priorities in a fast-paced, remote, collaborative environment. Professional verbal and written communication skills. Education, Certifications and Licensures High school diploma or general education degree required. Related coursework or education (e.g., billing certificate, associate’s degree, or bachelor’s degree) with a focus on billing or related field preferred. Other This is a remote position. Quarterly travel may be required for meetings at the Scottsdale, AZ headquarters or the Atlanta, GA regional office. Ability to work effectively in a remote environment while maintaining confidentiality, productivity, and communication standards. Summary Grow Your Career With Us CND Life Sciences is a patientand employee-centric, future-focused organization. We know there is a patient hoping for answers behind every Syn-One test we perform, and this knowledge drives us day in and day out to be our best. We are dedicated, driven, and passionate with a strong sense of community and team spirit. CND offersplenty of advancement opportunities andexcellent benefitsto include medical, dental and vision, STD, LTD, Life, AD&D, and 401K with an employer match and encourages a positive work life balance. Our Mission Since our founding, CND Life Sciences has been on a mission to advance the care of patients who face the potential diagnosis of a neurodegenerative disease. With long careers in research and clinical care, our foundersset out to unlockdeeper stories within the skin bydetecting key pathological markers in the peripheral nervous system that had been previously out of reach. Our Core Values CND maintains core values that guide our work and mission every day. Great science. It’s the foundation of everything we do. Patients first. There is a patient hoping for answers behind every test we perform – we never forget that. Clinician-minded. We are founded by physicians and dedicated to helping clinicians care for patients – we embrace this responsibility. Quality core. We adhere to high laboratory standards and quality practices – it’s the only way to operate. Always thinking. We are relentless in determining how we can innovate and do better – it’s just in our DNA. Respect. We hold our employees, customers, partners, and suppliers in high regard – we succeed when we are aligned. CND Life Sciences is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected status. #J-18808-Ljbffr CND Life Sciences