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Patient Access Specialist - Military Veterans

at Act One

AppleOne is proud to present:
Patient Access Specialist opportunity in Orlando, FL zip code 32819!
Pay: $17/hour
Length: Temp to Perm opportunity
Schedule: M-F 8:30am to 5:00pm
In Office opportunity - Southpark Circle, Orlando, FL 32819 - 100% onsite role
Start date is October 21st, 2024- must be able to start on this date to be considered!

Job Responsibilities:


  • Submit PA requests via online portals, and other methods for diagnostic and genetic laboratory tests

  • Complete benefits investigations, and other processes to facilitate patient access to diagnostic and genetic laboratory testing

  • Populate Insurer forms & solve issues regarding existing and/ or missing forms

  • Serve clients by handling inbound calls from health care providers, payers, and patients and responds to escalated inquiries.

  • Ability to professionally and appropriately handle physician / payor call escalations • Ability to follow and participate in the development of SOPs.

  • Deliver Quality work, and maintains high meet to exceeds scores on Quality audits & metrics

  • Work at times with our newest and most challenging accounts, working well under pressure.

  • Troubleshoot where necessary to achieve goal of obtaining authorization. Identifies and resolves prior authorization issues / patient access issues. Appropriately documents all payer, patient, and client interactions.

  • Able to learn system software and adjust to system enhancements.

  • Work in a flexible environment, where the work performed can change quickly and where responsiveness is key.

  • Follow up on pending cases with payers, patients, health care providers, and laboratories through to resolution both verbally and in writing in a professional manner.



Qualifications for role:

  • Healthcare background, or coding, with medical terminology

  • Previous experience with prior authorizations and medical insurance knowledge (Familiar with Medicaid, Medicare, and commercial payers)

  • Medical Billing experience Preferred

  • Computer Skills

  • Minimum 2 years' experience with Microsoft Word and Excel

  • Oncology related experience a plus • Laboratory related experience a plus Apply Now!



EEO/AA Employer/Vet/Disabled.



The Know Your Rights poster is available here:

https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf



The pay transparency policy is available here:

https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf



For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.



We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.



AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.

https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf



We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.


#1115

Experienced (Non-Manager)

Altamonte Springs, FL

Salary Range
$0 to $17
Act One

The ActOne Group is a global leader in the human resources industry that specializes in partnering with firms looking to optimize human resource talent management. For nearly 50 years, we have found success by focusing our energy on three distinct business categories: Workforce Solutions, Staffing Solutions and Business Solutions. Today, The ActOne Group has over 13,000 clients and 2,500 employees located throughout the United States, Canada, Puerto Rico, India, Brazil, South Korea, Germany, Denmark and the United Kingdom. We are a privately-held California corporation that bears the distinction of being the largest zero-debt, woman- and minority-owned workforce management company in the United States. WORKFORCE SOLUTIONS AgileOne combines best-of-breed talent acquisition technology with an experienced managed services team to create a valuable workforce technology solution. We help organizations streamline processes, from the automation of requisitions and time-card management, to supplier relationship support, accurate invoice processing and real-time, customized reporting. STAFFING SOLUTIONS We are one of the Staffing Firms in the U.S. and provide services under these brands: - AppleOne Employment Services - AllSTEM - All's Well Health Care Services - ActOne Executive Search BUSINESS SERVICES - A-Check America - AppleOne Payroll & Tax Filing - CTA Travel - full service travel agency - ActOne Government - ATIMS - AllCare

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