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Patient Qualification Specialist Jobs (NOW HIRING)

Trinity Health

Patient Access Representative I

Dublin, OH

$16.50 - $21.25/hr

Patient Financial Specialist I; Ensures the collection of accurate and complete registration ... Minimum Qualifications: * Education: Prefer an Associate's Degree in HealthCare Administration ...

Trinityhealth

Patient Access Representative I

Dublin, OH

$16.50 - $21.25/hr

Patient Financial Specialist I; Ensures the collection of accurate and complete registration ... Minimum Qualifications: * Education: Prefer an Associate's Degree in HealthCare Administration ...

Trinity Health

Patient Access Representative

Mount Carmel, IL · On-site

$15.50 - $19.75/hr

Patient Financial Specialist I; Ensures the collection of accurate and complete registration ... Minimum Qualifications: * High school diploma or equivalent. * HFMA CRCR or NAHAM CHAA required ...

Trinity Health

Patient Access Representative

Westerville, OH · On-site

$16.75 - $21.25/hr

Patient Financial Specialist I; Ensures the collection of accurate and complete registration ... Minimum Qualifications: * Education: Prefer an Associate's Degree in HealthCare Administration ...

Trinity Health

Patient Access Representative I

Dublin, OH · On-site

$16.50 - $18/hr

Patient Financial Specialist I; Ensures the collection of accurate and complete registration ... Minimum Qualifications: * Education: Prefer an Associate's Degree in HealthCare Administration ...

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$65

How much do patient qualification specialist jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for patient qualification specialist in the United States is $27.32, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $33.17 per hour, depending on experience, location, and employer.

What is a patient qualification specialist?

A Patient Qualification Specialist is a healthcare professional responsible for evaluating patients to determine if they meet specific criteria for medical treatments, procedures, or participation in clinical programs. They review medical histories, verify insurance coverage, and ensure all necessary documentation is complete. This role often involves communicating with physicians, insurance companies, and patients to gather information and provide guidance about eligibility requirements. The goal is to streamline the patient intake process and help ensure patients receive appropriate care according to established guidelines.

What skills and qualifications are needed to be a patient qualification specialist?

To thrive as a Patient Qualification Specialist, you need a solid understanding of medical terminology, healthcare processes, and patient eligibility criteria, typically supported by relevant experience or education in healthcare administration. Familiarity with electronic medical records (EMR) systems, insurance verification tools, and HIPAA regulations is crucial. Strong communication, attention to detail, and problem-solving skills help you interact effectively with patients and healthcare providers. These skills ensure accurate patient qualification, regulatory compliance, and a smooth patient onboarding process.

What are the main challenges a patient qualification specialist faces when evaluating patient eligibility for clinical trials?

One of the main challenges faced by Patient Qualification Specialists is ensuring accurate and efficient assessment of patient eligibility according to strict study protocols. This often involves reviewing complex medical records, interpreting clinical data, and coordinating with both patients and healthcare providers to gather missing information. Balancing the need for thoroughness with the urgency of enrollment deadlines can be demanding, especially when handling multiple studies simultaneously. Effective communication and attention to detail are essential to overcome these challenges and support successful clinical trial enrollment.

What is the difference between Patient Qualification Specialist vs Medical Billing Specialist?

AspectPatient Qualification SpecialistMedical Billing Specialist
CredentialsHigh school diploma; certification preferredHigh school diploma; certification often preferred
Work EnvironmentHealthcare facilities, insurance companiesMedical offices, billing companies
Primary ResponsibilitiesAssess patient eligibility, verify insuranceProcess insurance claims, manage billing

The Patient Qualification Specialist focuses on verifying patient eligibility and insurance coverage before treatment, ensuring smooth patient intake. In contrast, the Medical Billing Specialist handles the billing process after services are rendered, managing claims and payments. Both roles are essential in healthcare revenue cycle management and often work closely within healthcare organizations.

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What job categories do people searching Patient Qualification Specialist jobs look for?

The top searched job categories for Patient Qualification Specialist jobs are:

Patient Qualification Specialist jobs near you
Infographic showing various Patient Qualification Specialist job openings in the United States as of August 2026, with employment types broken down into 4% As Needed, 69% Full Time, 19% Part Time, and 8% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $56,824 per year, or $27.3 per hour.

Patient Experience Specialist

Falck Patient Financial Services

Mesa, AZ • On-site

$17.75 - $22.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 22 days ago

Job description

Falck is a is a global emergency medical services provider originating from Denmark that services 3 states in the US including: California, Colorado and Texas. Falck has been operating in the US since 2010 and is one of the largest private providers of emergency medical services in the country today. Our BLS and ALS services impact not only the lives of our patients, but their families and communities.
"Bring Care into your Career"
Company Video: Falck USA
What We Offer:
• Full-Time Benefits (Medical, Dental, Vision, Life)
• 401(k) with company match
• Training and Career Development
• Generous Paid Time-Off
This position is onsite in Mesa, AZ
Position Summary:
Based in our Mesa, Arizona office, Falck is seeking a dynamic and empathetic individual to join our team as a Patient Experience Specialist. As a Patient Experience Specialist, you will play a crucial role in ensuring the highest level of care and satisfaction for our patients during their interactions with Falck's RCM Billing Office. The candidate will be a natural fit for our 3 winning behaviors: We are committed to care, we build trust, and together we create more value. This position requires excellent communication skills, empathy, and a commitment to providing a positive and supportive experience for individuals in emergency situations.
Responsibilities:
As a Patient Experience Specialist, your duties include, but are not limited to, the following:
• Interact with patients and their families in a professional and empathetic manner, addressing concerns and providing information about billing procedures.
• Respond to patient inquiries about billing, insurance coverage, and payment options clearly and helpfully.
• Educate patients on their financial responsibilities, coordinate payment plans when necessary, and aid in navigating insurance processes.
• Establish and maintain positive relationships with patients regarding outstanding balances, assisting with billing inquiries and payment options.
• Ensure compliance with healthcare privacy laws and confidentiality standards.
• Accurately record patient information and maintain confidentiality in accordance with privacy laws.
• Collaborate with the Patient Experience team to enhance overall customer satisfaction and resolve issues effectively.
• Collect and analyze patient feedback to contribute to continuous improvement initiatives.
Qualifications:
To perform this job successfully, an individual must be able to adequately perform each essential duty. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The individual in this position must possess the following qualifications:
  • Customer centric attitude with a passion for delivering exceptional experiences.
  • Excellent communication and interpersonal skills.
  • Empathy and ability to remain calm under pressure.
  • Strong organizational and multitasking abilities.
  • Must be computer literate.
  • Ability to type a minimum of 45 wpm.
  • Having knowledge of medical terminology is a plus.
  • Ability to communicate, orally and in writing, professionally when dealing with employees and management.
  • Ability to work independently of direct supervision.
  • Well organized and detail oriented.
  • Display a willingness to work as a team player.
  • Ability to handle multiple tasks and to prioritize their importance.

Education/ Experience Requirements:
The individual in this position must possess the following education requirements:
• High school diploma or general education degree (GED)
• Two years of Customer Experience with an emphasis on customer advocacy
• Previous experience in healthcare, emergency services, or contact center is preferred
This job description is a summary of duties, it is by no means an all-inclusive list but is merely a broad guide of expected duties.
Falck is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to race, color, religion, sex, gender identity, pregnancy, national origin, ancestry, citizenship, age, marital status, disability, sexual orientation, genetic information, veteran status or any other characteristic protected by state or federal law.

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