Patient Access & Eligibility Specialist

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $15 - $17 / hour

⏳ Contract/Temporary

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Alopex

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2014

🏥 Healthcare

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

<Alopex> Alopex is a cloud-hosted healthcare SaaS platform that provides remote care management, care coordination, and case management services across clinical programs such as chronic care management, transitional care, behavioral health integration, remote patient monitoring, and remote therapeutic monitoring. The company partners with physician practices, ACOs, health systems, skilled nursing/LTC, RHCs/FQHCs, Medicare Advantage plans and PACE programs to deliver licensed clinical teams, seamless EMR integrations, and outcomes-focused population health services that address social determinants of health and reduce readmissions. Named a Top Cloud-Hosted Healthcare SaaS Platform for 2025, Alopex emphasizes rapid deployment, flexible contracting, compliance, and measurable clinical outcomes.

📋 Description

• Answer incoming patient calls and provide professional assistance • Respond to inquiries about care management programs and services • Review voicemails and route calls to appropriate team members or departments • Coordinate call routing to Care Coordinators, Enrollment Specialists, or other staff • Document patient communications in the care management platform • Verify insurance coverage and eligibility for care management programs • Confirm payer requirements for CCM, RPM, and other services • Review benefits, coverage status, and eligibility criteria • Identify patients eligible for care management enrollment • Prepare eligible patient lists for the Enrollment team • Flag qualifying patients for outreach and enrollment • Maintain accurate patient demographic and insurance information • Support patient record updates and administrative workflows • Use EMR, care management platforms, and telephony systems • Resolve minor data discrepancies and escalate system issues • Maintain HIPAA compliance and protect patient privacy

🎯 Requirements

• 1–3 years of experience in healthcare administration, patient access, insurance verification, or care coordination support • Experience verifying health insurance eligibility and benefits • Familiarity with Chronic Care Management (CCM), Remote Patient Monitoring (RPM), or population health programs preferred • Experience working with electronic medical record (EMR) systems • Strong technical proficiency and ability to learn new healthcare platforms quickly • Experience handling patient phone calls in a professional healthcare environment • Excellent verbal communication and patient engagement skills • Strong organizational and time management abilities • High attention to detail and documentation accuracy • Reliable and stable internet connection • Quiet, professional home office suitable for discussing sensitive information and PHI, free of distractions • Ability to work Monday through Friday during client practice business hours • Familiarity with HIPAA Privacy and Security requirements

🏖️ Benefits

• Remote work • Monthly contractor payments • Flexible schedule according to client practice business hours

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