Patient Access Consultant (Case Manager)
Patient Access Consultant (Case Manager)
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Job Description
We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate to the right client for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.
MMC is a privately owned business with corporate headquarters in Irving Texas. With 2000 employees working in 40 states MMC is able to support all United States locations and some international locations.
We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at
MMC strives to ensure all job posting confirm details of the position the rate of pay and acknowledge medical benefits are offered.
Get started on your career journey today! Apply to become a part of the MMC Team!
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability status protected veteran status or any other characteristic protected by law. In compliance with federal law all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.
RemoteCall Center Patient Access Consultant (PAC)
Location:Remote Start Date:September 2 2025
Pay Rate:$20.50/hr. Schedule: Full-Time Monday-Friday
Join a mission-driven team where youll be the voice of guidance care and clarity for patients navigating the complex world of healthcare access. As a Patient Access Consultant (PAC) youll serve as a master of our services delivering expert-level support and compassionate customer service to patients providers caregivers and client brand teams.
This remote call center position combines precision empathy and problem-solving to ensure patients receive the support they need exactly when they need it.
Position Summary:
Under the general supervision of an Operations Manager the PAC is responsible for expertly managing a wide range of reimbursement support services including but not limited to:
- Claims submission and follow-up
- Prior authorization tracking
- Patient assistance and copay programs
- Appeals and denials
- Pharmacy coordination
- Customer inquiries and escalations
Youll support internal and external customers with accuracy and urgency always keeping the patient experience at the forefront.
Primary Duties and Responsibilities:
You will be a master of all standard and advanced services including but not limited to:
- Billing and coding support
- Claims assistance tracking and submission
- Prior authorization assistance and tracking
- Coordination of benefits
- Benefit verification result calls and welcome calls
- Advanced alternate coverage research
- Appeals and denial support
- Inbound phone queue and general program inquiries
- Support determinations for copay PAP Medicaid and other assistance programs
- Pharmacy triage and coordination
- Order processing for wholesale orders
- Follow-up activities (e.g. missing information prior authorization issues)
- Adverse event intakes and reporting as directed
- Non-clinical adherence support services
- Engagement with manufacturer representatives regarding payer trends reimbursement issues and office challenges
- Coordination of services with field reimbursement teams and sales reps
- Exceptional customer service delivery to both internal and external contacts
- Resolution and communication of reimbursement delays (billing/claim denials pricing errors etc.)
- Preparation and processing of necessary correspondence
- Coordination with internal/external service providers to ensure compliance with SLAs
- Training and support for internal associates and fielding questions from reps/specialists
- Handling of initial customer escalations
- Verification of compliance with policies and procedures; suggestion of solutions when appropriate
- Independent resolution of complex accounts with minimal supervision
- Protection of patient-sensitive data and confidentiality
- Execution of complex issue analysis drawing from evaluation of variable factors
- Use of sound judgment in selecting techniques/methods to achieve results
- Networking with professionals outside of direct work scope as needed
- Autonomous decision-making on new or special assignments
- Participation in special projects and related duties assigned
Experience & Education Requirements:
- High school diploma or GED required
- Minimum of 5 yearsof directly related progressively responsible experience in healthcare access reimbursement or customer support
- A 2-year degree may substitute for 2 years of experience
- A 4-year degree may substitute for 4 years of experience
- Associates or technical degreein business administration accounting computer science medical billing/coding or similar field preferred
- Bachelors degreepreferred
Skills Knowledge & Abilities Required:
- Effective oral and written communication
- Ability to build productive working relationships with internal and external contacts
- Advanced interpersonal and organizational skills
- Strong mathematical and basic analytical capabilities
- Detailed knowledge of pharmacy operations and medical claims
- Proficiency with medical terminology and healthcare billing
- General knowledge required; advanced knowledge preferred
- Advanced Microsoft Office skills (Excel Outlook Word)
- Developing professional expertise in applying policies/procedures to resolve a variety of issues
Remote Work Environment & Equipment Options:
You may use either:
- Client-Provided Equipment(limited availability)
- Bring Your Own Device (BYOD)
BYOD Requirements:
- Windows OS Laptop/Desktop only (no tablets no Apple devices)
- External mouse (required)
- External keyboard (optional)
- Minimum of 2 total screens (laptop screen 1 external monitor)
- Must be hardwired to modem via Ethernet cable
Physical & Mental Requirements:
- Sedentary work involves repetitive motions grasping typing reaching talking and hearing
- Visual requirements: close distance peripheral vision and ability to adjust focus
- 75% or more of time spent on a computer
- Ability to manage high-stress or emotional situations with professionalism
- Reasonable accommodation available for individuals with disabilities
Ready to play a vital role in improving patient access delivering compassion and solving real-world healthcare challenges all from your home office
Apply today and become part of a team where every interaction counts!
Required Experience:
Manager
Employment Type
Contract
