Patient Access: Verification & Authorization Specialist- Part Time

Job Description

Job Description

Description:

Patient Access: Verification & Authorization Specialist

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 ResponsibilitiesInsurance 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
• Frequent interaction with patients and clinical staff
• Ability to work in a fast-paced behavioral health environment
• Reasonable accommodations may be made for qualified individuals with disabilities

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.