Patient Access Specialist - 100% Remote in PST, MST or CST Time Zones

Job Title: Patient Access Specialist Status: Full-Time Non-Exempt Direct Hire Pay: $23.00-$26.00 per hour Location: 100% Remote ** preference to PST, MST or CST Time Zones ** We’re a fast-growing, fully remote healthcare organization on a mission to improve access to care—and we know our people make that possible. As we expand, we are adding a new role to our team. We are seeking a Patient Access Specialist who will be responsible for providing advanced support across the client journey by independently resolving moderately complex insurance, authorization, billing, and care-readiness issues. About Expressable Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services, serving thousands of clients since our inception in late 2019. We are passionate advocates of parent-focused intervention. Our e-learning platform contains thousands of home-based learning modules authored by our clinical team, helping SLPs empower caregivers to integrate speech therapy techniques into their child’s daily life and improve outcomes. Our mission is to set a new standard in speech therapy by making every caregiver a champion of their loved one’s success. We envision a world where everyone can fulfill their communication potential. The Patient Access Specialist provides advanced support across the client journey by independently resolving moderately complex insurance, authorization, billing, and care-readiness issues. This role serves as a knowledgeable resource for escalations, ensures accuracy across workflows that impact client outcomes, and partners closely with internal teams to prevent delays in care. The Specialist also contributes to process improvement, supports onboarding of new team members, and models high-quality standards in documentation, communication, and compliance. WORK AUTHORIZATION: We are interested in every qualified candidate who is eligible to work in the United States. However, we are not able to sponsor visas at this time. What You Would Be Doing at Expressable Deliver an outstanding, responsive customer experience by supporting patient, family, referral source, and insurance inquiries across phone, email, text, and chat. Manage high-complexity insurance workflows, including secondary coverage, nuanced benefit structures, and multi-step authorization requirements. Manage inbound support requests and conduct proactive outreach to collect required documentation, close gaps in care, resolve concerns, schedule client appointments and improve overall client outcomes. Verify insurance benefits with accuracy, determine coverage/benefit limits, and ensure timely financial clearance prior to services. Prepare, submit, and track prior authorizations using appropriate systems; communicate authorization status, issues, and requirements to clinicians, clients, and internal teams. Support billing and financial inquiries by explaining charges, EOBs, deductibles, copays, payment plans, and financial policies; collect and process payments securely. Partner closely with clinical, scheduling, and operations teams to ensure accurate treatment plan alignment, session readiness, and continuity of care. Respond to internal inquiries about the status of in-process cases in a timely manner. Partner with the Revenue Integrity and Payer Compliance teams to resolve front-end rejections and registration related denials which includes collecting and updating patient billing information to ensure accurate submission/resubmission of claims. Maintain exemplary documentation quality in CRM/EHR systems, ensuring compliance with HIPAA, PCI, payer rules, and internal policies. Identify recurring issues or inefficiencies and recommend updates to workflows, job aids, or scripts; support pilots and process-improvement initiatives. Assist with onboarding and training of new team members by modeling strong communication, documentation, and case management practices. Manage an independent caseload, consistently meeting SLAs, quality standards, and follow-through expectations across all assigned work. What You Bring to Expressable Education High school diploma or GED required. Associate’s degree or coursework in healthcare administration, business, or a related field preferred. Experience 2–3+ years of experience in healthcare operations, patient access, insurance verification, prior authorization, medical billing, or revenue cycle support. Demonstrated success meeting SLAs and quality metrics in a high-volume environment. Experience resolving moderately complex payer issues, denied claims, or multi-step client cases. Prior experience in telehealth or multi-state healthcare environments preferred. Prior experience working in a fast-paced environment with measurable performance metrics (e.g., SLAs, quality standards). Technical Skills Proficiency with EHR/CRM systems and payer portals; ability to navigate multiple systems simultaneously. Strong data-entry accuracy and documentation discipline. Working knowledge of insurance terminology (EOBs, COB, medical necessity, visit limits, tiered benefits, etc.). Ability to recognize workflow issues and recommend improvements. Strong written and verbal communication skills for both client-facing and internal collaboration. Core Competencies In addition to the competencies associated with our core values of empowerment, integrity, innovation, collaboration, and diversity, the Payer Compliance Specialist should possess the following key competencies. Advanced Problem-Solving & Case Resolution: Independently resolves moderately complex insurance, billing or care-readiness issues using analytical thinking and informed judgement. Anticipates obstacles and proactively coordinates next steps. Workflow Ownership & Accountability - Manages a personal caseload with minimal supervision, prioritizing effectively in a fast-paced environment. Ensures accuracy and timeliness in high-volume documentation and operational tasks. Cross-Functional Collaboration - Works closely with Clinical, Operations and Revenue Cycle staff to address barriers and prevent delays. Influences process improvements through observed trends and consistent communication. Client Experience Leadership - Models exceptional service and communication standards, including navigating difficult or sensitive conversations with confidence. Provides informal coaching and support to peers. Compliance & Accuracy Mastery - Demonstrates consistent accuracy in documentation and internal controls, ensuring adherence to HIPAA, PCI and payer requirements. Recognizes and escalates compliance risks early. Physical Demands & Work Environment The physical demands and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job consists of sedentary work that primarily involves sitting/standing. While performing the duties of this job, the employee is regularly required to type on a computer keyboard, read documentation, and communicate via telephone regularly throughout the day. Visual acuity must be high enough to view computer screens and to read technical documentation communicated via electronic transmission such as email, shared drives, and chats. This job operates in a remote home office utilizing standard office equipment such as computers, tablets, monitors, and telephone. Why Join Us? Exceptional paid time off policies that encourage and support life balance, including a winter break. 401k matching to ensure our staff have what they need to enjoy their retirement Health insurance options that ensure well being for the whole person and their family Company paid life, short-term disability, and long-term disability coverage Remote work environment that strives for connectivity through professional collaboration and personal connections Note Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. More about Expressable Expressable values people. From the technology we develop, the services we provide, and the culture we maintain, Expressable cares about the experience of our employees, clients, and prospects. We intentionally create and sustain supportive environments in which everyone - clients, caregivers, speech-language pathologists, and team members - can achieve their highest potential. We believe that building trusting and collaborative relationships is paramount to delivering quality care so we operate with the highest levels of honesty, transparency, and accountability as individuals and a collaborative team. We believe that transforming therapy happens through the steady and iterative problem solving of an interdisciplinary team. Expressable is an equal opportunity workplace. We celebrate and embrace diversity and are committed to building a team that represents a broad tapestry of backgrounds, perspectives, and skills. Expressable is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Expressable will take the steps to ensure people with disabilities are provided reasonable accommodations. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact us at [email protected]. E-Verify Federal law requires all employers to verify the identity and employment eligibility of all person hired to work in the United States. Expressable participates in E-Verify. E-Verify Participation Poster E-Verify Right to Work Poster