New 
Patient Therapy Access Specialist
 Spectraforce Technologies | |
 United States, Texas, Plano | |
| 1201 West 15th Street (Show on map) | |
 Aug 26, 2026 | |
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Job Title: Patient Therapy Access Specialist Location: 6600 Pinecrest, Plano, Texas -100 percent onsite Days/Hours: Mon - Friday 8:00 AM- 5:00 PM Duration: 05 months Our location in Plano, TX currently has an opportunity for a Patient Therapy Access Specialist (PTA). As a PTA Specialist you are responsible for facilitating and assisting patients with the pre-certification, pre-determination and authorization process necessary as a prerequisite to perform various procedures or forms of therapy based on physician recommendation. WHAT YOU'LL DO * Assist with multiple levels of appeal in the event of initial coverage denial. * Forward authorized confirmation for procedure to designated patient provider. In addition, this position will provide in-servicing to new patient providers surrounding the pre-authorization process. * Responsible for managing multiple cases simultaneously within specific time frames * Follow all policies and procedures related to performing the job role adhering to all data use, storage and privacy policies as outlined * Verify benefits, complete authorization requests promptly * Timely follow up for requested authorizations * For each procedure, audit required clinical documents for completeness and accuracy * Obtain authorization for the facility, equipment and physician to perform various procedures from the insurance carrier * Work with key provider contacts to obtain required clinical information for authorizations * Work with respective carrier's utilization review department to obtain appropriate authorizations * Work within established guidelines when necessary to process appeal for denied requests * Train patients and their designated providers on pre-authorization processes and requirements, in person or by phone * Work individually and in a team environment to educate assigned Field Territory Managers and Clinical Specialists EDUCATION AND EXPERIENCE YOU'LL BRING HS diploma required, AA a plus | |