Patient Access Coordinator

Candidates must hold an MBBS degree and possess experience within the U.S. healthcare system, along with clear and professional English communication skills. EDGE connects top global talent with the U.S. healthcare and insurance industries, focusing on creating a borderless network centered on people. As a Patient Access Coordinator, you will provide vital administrative and communication support in a remote healthcare setting. Your role involves managing patient information, coordinating care workflows, organizing documentation, and acting as a liaison between patients, healthcare providers, labs, pharmacies, and administrative teams. The ideal candidate is empathetic, service-oriented, and able to maintain professionalism while effectively communicating with both patients and doctors.

Key Responsibilities
- Coordinate telehealth appointments, ensuring patient readiness, proper documentation, and identification.
- Monitor and triage patient messages, gathering necessary information and routing requests appropriately.
- Maintain accurate patient records, notes, and communications within the Electronic Health Record (EHR) system.
- Manage lab orders and results by tracking, confirming receipt, uploading documentation, and notifying providers.
- Handle medication-related requests, including refills and coordination with providers and pharmacies.
- Submit and track referral requests, document updates, and ensure follow-up completion.
- Conduct post-visit follow-ups, managing outstanding appointments and administrative tasks.
- Manage inboxes and task queues to ensure timely completion of duties.
- Facilitate communication between doctors, patients, specialists, labs, pharmacies, and administrative teams.
- Perform eligibility and benefits verification using EHR systems, payer portals, and clearinghouses.
- Verify insurance coverage details such as copays, deductibles, coinsurance, and out-of-pocket maximums.
- Identify insurance requirements including prior authorizations, network restrictions, visit limits, and exclusions.
- Accurately document eligibility, benefits, patient responsibility, and coverage requirements.
- Initiate and manage prior authorization requests for procedures, services, imaging, durable medical equipment (DME), and medications.
- Collect clinical information, coding references, and supporting documentation for prior authorizations.
- Ensure all patient coordination activities comply with HIPAA regulations and maintain timely, accurate documentation.

Required Qualifications
- MBBS degree is mandatory.
- Proven experience in U.S. healthcare and working with doctors.
- Clear, professional English communication skills.
- Strong interpersonal and customer service skills with a warm, empathetic, and helpful demeanor.
- Ability to work in-office five days per week, Monday through Sunday, with two days off weekly.
- Flexibility to work rotating schedules every two months and availability during all holidays except religious holidays.
- Basic understanding of medical terminology and healthcare workflows.
- Strong organizational skills and attention to detail.
- Ability to multitask and manage multiple patient-related requests simultaneously.
- Proficiency with EHR systems, payer portals, and healthcare communication tools.
- Commitment to confidentiality and HIPAA-compliant handling of patient information.

Hiring Process
Applicants undergo a thorough review of their application and resume. Selected candidates will have an interview with an EDGE representative to assess fit. Successful candidates proceed through onboarding and training, followed by client interviews tailored to specific healthcare needs. Upon final selection, candidates join the EDGE Global Talent Community, ready to contribute to the healthcare sector.

EDGE is committed to creating a world where geographic borders do not limit employment opportunities or fair wages. Our global hiring network connects exceptional professionals with North American businesses seeking talent. We foster a diverse and inclusive work environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration without regard to race, color, religion, gender identity, sexual orientation, national origin, disability, age, veteran status, or any other legally protected status.