Patient Access & Revenue Specialist

Patient Access & Revenue Specialist Position Summary

The Patient Access & Revenue Specialist plays a critical role in ensuring patients experience seamless, timely, and compassionate care across Home Medical Equipment (HME) services by applying respiratory clinical expertise to support patient access, documentation accuracy, and reimbursement readiness. Serving as a cross-functional connector between RT clinical teams, the intake team, authorization, billing, and customer service, this role identifies and resolves barriers to care, prevents avoidable delays and denials, and ensures payor compliance to support timely start-of-care and accurate reimbursement. This role also provides day-to-day supervision and support of the intake team to ensure consistency, accountability, and workflow excellence; while remaining a non-field, office-based position focused on access and revenue cycle performance.

How We Take Care of our Patient Access & Revenue Specialist

Competitive, market-based compensation and benefits that include:

• Health, dental, vision insurance + ancillary choices as well 
• Teladoc services (provided at no cost)
• $50,000 Life insurance (provided at no cost)
• Employee Assistance Program (provided at no cost)
• 401K retirement + company match
• Short- & long-term disability
• 15 days paid vacation
• 8 Paid Holidays
• 40 paid volunteer hours
• Bereavement time off
• Quarterly company events

Patient Access & Revenue Specialist Essential Functions

• Facilitate new patient onboarding in collaboration with intake and RT clinical teams.
• Provide functional supervision and support to the intake team, including workflow oversight, prioritization, and problem escalation.
• Ensure intake processes align with payor requirements, documentation standards, and start-of-care timelines.
• Ensure timely insurance eligibility verification and benefit coverage for HME services.
• Submit prior authorizations, manage renewals, and support appeal documentation for HME therapies.
• Apply RT clinical knowledge to review documentation (testing results, physician notes, orders) to ensure medical necessity and payor compliance prior to submission.
• Support peer-to-peer preparation by providing clinical documentation context and rationale.
• Partner with RT field teams to identify and close documentation gaps that delay start-of-care.
• Communicate clearly and empathetically with patients regarding insurance requirements, authorizations, and financial responsibility.
• Collaborate with billing and reimbursement teams to prevent and resolve HME-related denials.
• Monitor claims status and partner with collectors to support timely payment.
• Identify and escalate recurring payor, documentation, or system issues impacting cash flow or patient access.
• Track and monitor pending authorizations, start-of-care delays, and documentation deficiencies.
• Serve as a liaison between RTs, revenue cycle, intake, and customer service teams.
• Recommend process improvements to reduce errors, rework, delays, or denials.
• Assist with training or onboarding related to HME documentation, authorization workflows, or payor requirements.
• Investigate and resolve patient, provider, or payor concerns related to access or billing.
• Deliver high-touch service and compassionate communication throughout the patient journey.

Patient Access & Revenue Specialist Minimum Qualifications and Skills

• Active Respiratory Therapist (RT or RRT) license required.
• 2+ years of experience in healthcare revenue cycle, prior authorization, billing, intake, or related roles.
• Experience in Home Medical Equipment (HME), DME, or home respiratory services are strongly preferred.
• Prior supervisory or team lead experience preferred
• Strong understanding of insurance benefits, payor requirements, and claims workflows related to HME.
• Knowledge of oxygen, PAP, and ventilator documentation and medical necessity standards.
• Experience working within EHR and revenue cycle systems.
• Detail-oriented with strong communication, problem-solving, and follow-through skills.
• Demonstrated ability to collaborate across clinical and operational teams.
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.

Patient Access & Revenue Specialist Success Factors

• Effective cross-functional collaboration.
• Ability to identify and resolve barriers proactively.
• Empathetic and clear communication with patients and payors.
• Commitment to process improvement and compliance.

Patient Access & Revenue Specialist Working Conditions

• Primarily office-based with prolonged periods of sitting at a desk and working on a computer
• Occasional extended hours to meet deadlines or resolve urgent issues.
• Must be able to work in a fast-paced environment with frequent interaction across teams.

The Barnes Difference

For those looking for a workplace that is as compassionate with its staff as it is with its patients – Barnes Healthcare has what you are looking for. Providing unparalleled service since 1909, we do not just offer you a job; we welcome you into a family committed to outstanding care, community spirit, and meaningful impact. Our history exists simply because of the people committed to delivering on our driving purpose - We Take Care of People. ™

A Legacy of Caring - Join forces with a healthcare pioneer! Experience how we have earned the trust of countless families through over a century of unwavering dedication to nurturing health and happiness.

A Culture of Empathy - Dive into an environment where patients' wellness journeys shape our business. Your empathy and insights are valued, heard, and pivotal in crafting holistic care experiences.

Community Engagement - Engage with local endeavors, enrich lives, and witness firsthand the difference you make every day. We provide 40 hours of volunteer time off to allow you to get involved with our communities in a personal way. Our commitment to our communities has led to raising over $800,000 for those we serve since 2009.

Daily Fulfillment – Your experience will be much more than a paycheck. It is the gratification of knowing your work profoundly improves lives, contributing to delivering compassionate care for those we serve.

Exceptional Teamwork – Your purpose is shared with a group of passionate, talented, and supportive colleagues who work together to deliver a transformative impact and legendary customer service. You will find a second family here.

Deep Roots – Become a part of a fourth-generation family business whose success has always been measured by the number of lives we impact and not by the earnings of outside shareholders.

Ready for a career that nourishes your soul as you nurture others? Your opportunity is here, with a family that cherishes your ambitions as much as you do. Step into your role at Barnes Healthcare. Apply now and join with us as we continue our history of doing what we do best – We Take Care of People. ™