Patient Access: Verification & Authorization Specialist- Part Time

Patient Access: Verification & Authorization Specialist- Part Time Eagleville, PA Location: Eagleville, PA Job Type: Part-Time Schedule: Saturday & Sunday, 4:00 PM – 8:00 PM Work Environment: On-Site (Behavioral Health Setting) About the Role PATHS, LLC is seeking a detail-oriented and patient-focused Patient Access: Verification & Authorization Specialist to support weekend operations at a behavioral health client facility in Eagleville, PA. This role serves as a critical point of contact in the patient journey by ensuring accurate insurance verification, authorization management, and financial transparency. The ideal candidate brings strong payer knowledge, excellent communication skills, and the ability to work collaboratively in a fast-paced healthcare environment. About PATHS, LLC Physician and Tactical Healthcare Services (PATHS), LLC provides comprehensive account receivable management, patient advocacy, and consultation services to healthcare organizations. Founded in 2000, PATHS operates four offices across PA, NJ, and DE, employing hundreds of professionals and supporting more than 100 healthcare clients. We are committed to teamwork, compliance, and delivering a positive experience for patients and providers alike. Key Responsibilities Insurance Verification & Authorizations Verify accurate demographic, insurance, and financial information at patient arrival Confirm insurance coverage, benefits, and service eligibility Communicate with insurance carriers to verify benefits, service limits, and authorization requirements Navigate payer portals such as Availity, Navinet, ePromise, and Pear to verify benefits and submit authorization requests Obtain, manage, and monitor prior authorizations, ensuring correct CPT codes, units, service lines, and timely renewals Track authorization visit counts, expiration dates, and follow-up requirements Maintain detailed documentation of all payer interactions within the EHR Assist patients with the Medicaid application process as needed Coordination & Collaboration Work closely with clinical staff to obtain required documentation for authorization submissions Partner with billing and operations teams to resolve authorization or coverage issues Proactively address access or financial barriers to support smooth patient flow Compliance & Documentation Maintain strict confidentiality in compliance with HIPAA and organizational policies Ensure documentation is complete, accurate, and timely within the EHR Follow organizational guidelines related to authorizations, collections, and financial communication Requirements Required Qualifications High school diploma or equivalent (additional healthcare administration training a plus) Experience in a medical office, hospital, behavioral health, or customer service environment preferred Strong written and verbal communication skills Knowledge of insurance plans, authorizations, and medical terminology preferred Proficiency with EHR systems and basic computer applications Ability to multitask, prioritize, and remain calm under pressure Strong attention to detail and problem-solving skills Core Competencies Customer service excellence Accuracy and attention to detail Professionalism and empathy Critical thinking and problem-solving Team collaboration Confidentiality and compliance awareness Training Requirement Training will take place at the Allentown, PA office for 4–6 weeks Mileage reimbursement provided for training-related travel Physical & Environmental Requirements Prolonged periods of sitting and computer use Compensation & Benefits PATHS offers a competitive hourly rate commensurate with experience. Eligible employees may have access to: Paid Time Off (PTO) Paid Holidays Medical, Dental, Life, and Long-Term Disability Insurance 401(k) retirement plan Benefits eligibility may vary based on part-time status and hours worked. Equal Opportunity Employer PATHS, LLC is an Equal Opportunity Employer and complies with all applicable federal, state, and local employment laws. We provide equal employment opportunities to all applicants without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity or expression, or any other status protected by law. Reasonable accommodations may be made to enable qualified individuals to perform the essential functions of the role. #J-18808-Ljbffr