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Patient Access Specialist - Wound and Infusion Center

UNC Health Care - Kinston, NC

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Job Description

Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The Patient Access Specialist serves as the primary point of contact for patients entering the Wound and Infusion Department. This position ensures efficient patient registration, accurate insurance verification, and timely completion of prior authorizations to support patient care and optimize reimbursement. The Specialist collaborates closely with providers, nurses, and administrative staff to maintain seamless patient flow, precise charge capture, and high-quality service consistent with UNC Health standards. Responsibilities: 1. Prior Authorization Management u00b7 Verify insurance coverage and obtain required prior authorizations for wound care, infusion therapy, and related procedures. u00b7 Communicate with insurance companies to ensure approvals are received before the date of service. u00b7 Track and document authorization statuses, denials, and appeals in the electronic medical record (EMR). u00b7 Work proactively with providers to ensure clinical documentation supports authorization requests. 2. Patient Registration & Scheduling u00b7 Greet and register patients accurately, collecting demographic, insurance, and consent information in compliance with HIPAA and UNC Health policies. u00b7 Schedule patient appointments, coordinate recurring infusion visits, and confirm future appointments. u00b7 Ensure financial clearance prior to patient visits, including copay collection and benefit verification. u00b7 Provide patients with clear communication regarding their appointments, authorizations, and any financial responsibilities. 3. Charge Review & Revenue Integrity u00b7 Review and reconcile daily charges to ensure accuracy and completeness prior to billing. u00b7 Collaborate with clinical staff to correct documentation or coding discrepancies. u00b7 Monitor charge capture processes and assist in resolving billing issues or denials related to registration or authorization errors. 4. Provider & Clinical Team Communication u00b7 Serve as a liaison between the access team, clinical staff, and providers to coordinate patient care and administrative workflows. u00b7 Communicate authorization updates, schedule changes, and coverage limitations promptly to providers and nursing staff. u00b7 Support departmental meetings by providing updates on access, scheduling, and insurance trends affecting patient care. 5. Compliance & Customer Service u00b7 Maintain confidentiality and adhere to all UNC Health policies, payer regulations, and compliance standards. u00b7 Deliver compassionate, patient-centered service in all interactions. Participate in ongoing training to stay current with insurance requirements, EMR updates, and departmental protocols. Other information: Qualifications Education: u00b7 High school diploma or equivalent required. u00b7 Associate degree in healthcare administration, business, or related field preferred. Experience: u00b7 Minimum of 1u20132 years of healthcare access, registration, billing, or authorization experience required. u00b7 Experience in wound care, infusion therapy, or specialty outpatient services preferred. Skills & Competencies: u00b7 Strong knowledge of insurance verification and authorization processes. u00b7 Proficiency in EMR systems (Epic experience preferred). u00b7 Excellent communication and organizational skills. u00b7 Attention to detail, accuracy, and ability to multitask in a fast-paced clinical environment. u00b7 Commitment to teamwork, professionalism, and patient-centered care. Working Conditions u00b7 Standard clinical office environment within a hospital-based outpatient department. u00b7 Regular interaction with patients, providers, and administrative teams. u00b7 May require occasional overtime to meet departmental needs. Job Details Legal Employer: Lenoir Health Entity: UNC Lenoir Health Care Organization Unit: Wound and Infusion Center Work Type: Full Time Standard Hours Per Week: 40.00 Work Assignment Type: Onsite Work Schedule: Day Job Location of Job: LENOIR MEM Exempt From Overtime: Exempt: No Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Created: 2026-01-22

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