Jobs in the United States

25+ jobs

Save this search

Added 3 mins ago
Registered Nurse
Heartland Hospice
Mishawaka, IN
What You'll Do as a Hospice RN / RN Case Manager:
Added 3 mins ago
Hospice Patient Care RN Manager
SouthernCare
Muncie, IN
We are seeking a dedicated Patient Care Manager to join our hospice team. Reporting directly to the Executive Director or Administrator, you will oversee patient care activities to ensure…
Added 3 mins ago
Hospice Registered Nurse
Heartland Hospice
Stevens Point, WI
What You'll Do as a Hospice RN / RN Case Manager:
Added 3 mins ago
Hospice Registered Nurse
Gentiva Hospice
Jasper, IN
What You'll Do as a Hospice RN / RN Case Manager:
Added 20 mins ago
Specialty Representative/Senior Specialty Representative - Primary Care - Las Vegas South, NV
Amgen
Las Vegas, NV
…strategy and promoting Amgen products as led by the District…
Added 26 mins ago
Manager Mission Assurance 2
CORP-Corporate Office
United States
…driving continuous improvement across the supply chain to achieve program quality objectives and customer satisfaction. This position may require up to 80% of direct work for supported…
Added 34 mins ago
AM
2027 Spring Project Manager Co-op (Billerica, MA)
Applied Materials
Billerica, MA · Billerica
- $31 to $41 USD / hour
Support projects and programs assigned are completed in accordance with predetermined requirements, with specific attention to product/process specifications, project/program costs,…
Added 1 hour ago
Senior Backend Software Architect
NKW ImmunityBio Inc
United States
Advanced proficiency designing, developing, and supporting production backend applications, including substantial responsibility for enterprise architecture or senior technical leadership.
Added 1 hour ago
Manager Mission Assurance - NDI
Northrop Grumman
Lake Charles, LA
Northrop Grumman is seeking experienced Mission Assurance Manager 1, Nondestructive Test/Inspection (NDI) to support a maintenance program with Northrop Grumman in Lake Charles, LA. The…
Added 1 hour ago
IT Project Manager Senior
Entergy
New Orleans, LA
Advanced knowledge of company accounting and regulatory policies; ability to apply this knowledge to meet program objectives
Added 1 hour ago
Senior Social Worker
Veterans Affairs, Veterans Health Administration
Baton Rouge, LA
Added 2 hours ago
RC
Sales Training Program Manager - Remote (CA Only)
Race Communications
Remote, United States
- $71,000 to $79,000 USD / year
The Sales Training Program Manager is responsible for owning, managing, and continuously improving the company’s sales training infrastructure to drive consistent, high-level performance…
Added 2 hours ago
RC
Sales Training Program Manager - Remote (CA Only)
Race Communications
Remote, United States
- $71,000 to $79,000 USD / year
The Sales Training Program Manager is responsible for owning, managing, and continuously improving the company’s sales training infrastructure to drive consistent, high-level performance…
Added 2 hours ago
RC
Sales Training Program Manager - Remote (CA Only)
Race Communications
Remote, United States
- $71,000 to $79,000 USD / year
The Sales Training Program Manager is responsible for owning, managing, and continuously improving the company’s sales training infrastructure to drive consistent, high-level performance…
Added 2 hours ago
RC
Sales Training Program Manager - Remote (CA Only)
Race Communications
Remote, United States
- $71,000 to $79,000 USD / year
The Sales Training Program Manager is responsible for owning, managing, and continuously improving the company’s sales training infrastructure to drive consistent, high-level performance…
Added 2 hours ago
RC
Sales Training Program Manager - Remote (CA Only)
Race Communications
Remote, United States
- $71,000 to $79,000 USD / year
The Sales Training Program Manager is responsible for owning, managing, and continuously improving the company’s sales training infrastructure to drive consistent, high-level performance…
Added 2 hours ago
RC
Sales Training Program Manager - Remote (CA Only)
Race Communications
Remote, United States
- $71,000 to $79,000 USD / year
The Sales Training Program Manager is responsible for owning, managing, and continuously improving the company’s sales training infrastructure to drive consistent, high-level performance…
Added 2 hours ago
Registered Nurse- Emergency Department
Veterans Affairs, Veterans Health Administration
Iowa City, IA
Added 2 hours ago
Registered Nurse Case Manager PRN
HCA Healthcare
Kingwood, TX
HCA Houston Healthcare Kingwood, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
Added 2 hours ago
Assistant Nurse Manager
AdventHealth
Burleson, TX
Neonatal Resuscitation Program - Advanced (NRP-A) [Preferred]
Added 2 hours ago
SUPERVISORY ELECTRONICS ENGINEER
U.S. Air Force - Agency Wide
Lackland AFB, TX
…Assists the AF CIISO and AF CIIO/AO for the AF IC Cybersecurity Program with a variety of installation and functional area organizations. Provides critical support to the Alternate CIISO…
Added 2 hours ago
Sous Chef
HCA Healthcare
Kingwood, TX
…come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three…
Added 2 hours ago
INSTRUCTIONAL SYSTEMS SPECIALIST
Air Education and Training Command
Goodfellow AFB, TX
…primary purpose of this position is to serve as a Training Manager in the Training Support Flight at an AETC Technical Training Center, responsible for the development, implementation, and…
Added 2 hours ago
CH
Nursing Director
CommonSpirit Health
Madisonville, TX
- $49.54 to $73.7 USD / hour
Masters Degree of Nursing, MBA, or MHA (Internal candidates are required to complete Master’s program within 3 years) and five (5) years of management experience at the nurse manager level…
Added 2 hours ago
Value Analysis Project Manager (Partial Remote) - Sourcing and Value Analysis
UTMB Health
Webster, TX
The Value Analysis Project Manager reports to the Director of Strategic Sourcing and Value Analysis. Responsible for managing multiple Value Analysis projects, including but not limited to…

CareMetx

Patient Access Specialist

Remote, United States

Apply About employer

Applications open in a new tab.

Job details

Education: High school diploma
Posting language: English
Posted: Oct 30, 2026

Original job description

Apply

Job Type

Full-time

Description

From intake to outcomes, CareMetx is dedicated to delivering industry-leading patient access solutions and support services that help patients quickly start and stay on specialty therapy treatments. We provide scalable, efficient digital hub services for pharmaceutical companies and healthcare providers, streamlining workflows with seamless integration for patient enrollment, consent, and prior authorization. Our best-in-class patient support services enhance every step of care, connecting patients, providers, and brands to drive better outcomes and accelerate time-to-therapy. Job Title: Patient Access Specialist

POSITION SUMMARY:

Under the general supervision of the designated manager, the Patient Access Specialist will be providing advanced services to patients, providers, and caregivers on behalf of patients for a specific manufacturer sponsored program or set of programs.

PRIMARY DUTIES AND RESPONSIBILITIES:

Provides advanced services to patients, providers and caregivers. Services could include but not limited to:
Billing and coding support.
Claims assistance, tracking and submission.
Prior authorization assistance and tracking.
Coordination of benefits.
Benefit verification result call.
Welcome calls.
Advanced alternate coverage research.
Appeals/Denials.
Intakes and reports adverse events as directed.
Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.
Establishes themselves as regional experts regarding payer trends and reports any reimbursement trends/delays to management team (e.g. billing denials, claim denials, pricing errors, payments, etc.).
Processes any necessary correspondence.
Coordinates with internal and external service providers to ensure services are performed in accordance with program policy and within expected service level agreements (SLA’s).
Maintains confidentiality in regards to all patient sensitive information.
Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercises judgment within defined standard operating procedures to determine appropriate action.
Required to be self-motivated, working from a queue (phone or system). Expected to perform work in accordance with defined standard perating procedures. Management will monitor queues and provide active feedback as required.
Performs related duties as assigned, which could include well defined services generally performed by other program representatives (e.g.
benefit verifications, Patient Assistance Program determinations).
Applies company policies and procedures to resolve a variety of issues.

Qualifications

EXPERIENCE AND EDUCATIONAL REQUIREMENTS:

High school diploma or GED required.
Requires a minimum of four (4) years directly related and progressively responsible experience in customer service, medical billing and coding, benefits verification, healthcare, business administration or similar vocations.
A bachelor’s degree is preferred.
An equivalent combination of education and experience will be considered.

MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:

Advanced customer service experience.
Ability to communicate effectively both orally and in writing.
Ability to build productive internal/external working relationships.
Advanced interpersonal skills.
Basic analytical skills.
Advanced organizational skills and attention to detail.
Must be proficient with Microsoft Excel, Outlook and Word.
General knowledge of the healthcare industry is preferred.

Physical Demands:

The physical demands 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.

While performing the duties of this job, the employee is regularly required to sit.
The employee must occasionally lift and/or move up to 10 pounds.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

Schedule:

Must be flexible on schedule and hours.

CareMetx considers equivalent combinations of experience and education for most jobs. All candidates who believe they possess equivalent experience and education are encouraged to apply. At CareMetx we work hard, we believe in what we do, and we want to be a company that does right by our employees. Our niche industry is an integral player in getting specialty products and devices to the patients who need them by managing reimbursements for those products, identifying alternative funding when insurers do not pay, and providing clinical services. CareMetx is an equal employment opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against based on race, color, sex, sexual orientation, gender identity, religion, disability, age, genetic information, veteran status, ancestry, or national or ethnic origin.

Artificial Intelligence in Our Recruiting and Employment Process

CareMetx uses artificial intelligence and automated decision-making technology to support parts of our recruiting, hiring, and employment process, including screening applications, scheduling interviews, and evaluating candidate qualifications. These tools support, not replace, human judgment. A qualified member of our team reviews and makes all final hiring and employment decisions.

CareMetx does not develop or use AI tools with the intent to discriminate against applicants or employees on the basis of race, color, religion, sex, age, sexual orientation, national origin, disability, veteran status, or any other protected characteristic.

Apply About employer

Report this job