Therapy Access Specialist – Contractor

Cala Health

. Provide operational support to the Therapy Access organization .

Posted 9/24/2026contractRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical insurance processes, including eligibility verification and prior authorization protocols, while ensuring compliance with HIPAA and quality assurance standards. Strong organizational and customer service skills are essential for effective communication and operational support within the Therapy Access organization.

Highest-signal resume keywords

Medical Insurance ExperienceEligibility VerificationPrior Authorization ProtocolCRM Proficiency (Salesforce.com)Strong Organizational Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Insurance ExperienceEligibility VerificationPrior Authorization ProtocolKnowledge of Health Insurance PlansDurable Medical Equipment (DME) Coverage Knowledge

Soft Skills

Strong Customer Service SkillsAttention to DetailEffective Communication Skills

Tools & Technologies

CRM (Salesforce.com)NaviNetAvaility

Industry Keywords

HIPAA ComplianceQuality AssuranceHealth Insurance

Tech Stack

Tools & technologies

SFDC

About the role

Key responsibilities & impact

Provide operational support to the Therapy Access organization
Contact patients and healthcare providers for documentation
Verify active health insurance coverage by phone with payor representatives
Use payor websites such as Availity and NaviNet to verify eligibility and submit prior authorizations
Document all interactions and calls in the CRM system according to Quality Assurance, Regulatory and HIPAA guidelines
Collaborate with Sales Support Representatives to transfer benefit verification and authorization data accurately and efficiently
Enter new patient referrals into the CRM
Contact new patient referrals for insurance confirmation
Provide telephone and department support as needed
Perform other related clerical duties as assigned
Reports to the Associate Director, Therapy Access

Requirements

What you’ll need

3 to 5 years of medical insurance experience, preferably at a medical company
High school diploma or equivalent required
Bachelor’s degree is strongly preferred
Experience in insurance benefits and eligibility
Specific knowledge of health insurance plans, interpretation of benefits and prior authorization protocol
General knowledge of the durable medical equipment (DME) coverage landscape is strongly recommended
Strong computer skills, including CRM (Salesforce.com) and payor sites such as NaviNet and Availity
Strong organizational skills and attention to detail
Strong customer service skills
Ability to communicate clearly and effectively, orally and in writing
Ability to maintain confidentiality
Applicants must be authorized to work in the United States on a full-time basis, or eligible for work authorization through a sponsorship path Cala Health can support
Ability to stand, sit, talk, hear, reach, and use hands and fingers to operate a computer, telephone and keyboard
Close vision required due to computer work
Ability to sit or stand at a desk for extended periods

Benefits

Comp & perks

All employees receive tools, training and mentoring needed to succeed
Contractor (1099) position