Patient Access Specialist - Hybrid (FT, Days, Sun. - Wed.)
Required skills
- Patient Access Specialist
- eligibility verification
- benefits verification
- EHR
- Medicaid
- Federal Marketplace
- application process
- health plans
- claims denied
- rejected claims
Nice to have
- Health care
- physician billing
- hospital billing
- facility billing
- Bilingual
- Spanish
Role summary
Connections Health Solutions is a leading provider of behavioral health crisis care, offering immediate access to medical and recovery-oriented treatment. Founded by emergency room psychiatrists, the physician-led, data-driven model has over 15 years of crisis care expertise and is recognized as a national best practice. The company is committed to improving access, inspiring hope, and providing the right support through its values of acceptance, inspiration, intention, teamwork, and innovation. They aim to change the face of behavioral health and save lives. The Patient Access Specialist role is crucial for facilitating timely access to care by verifying patient eligibility and benefits, updating EHRs, and assisting uninsured patients with Medicaid or Federal Marketplace applications. This role also involves resolving claims denials related to eligibility and benefits, researching registration issues, and ensuring accurate patient demographic information. The specialist will coordinate with health plans and internal teams to ensure smooth patient transitions and accurate billing.
What You'll Do:
The Patient Access Specialist facilitates timely access to care by ensuring patient eligibility and benefits are verified prior to service and updates the information in the Electronic Health Record (EHR) accordingly. In the event a patient does not have insurance, this position assesses and determines if a patient qualifies for Medicaid or the Federal Marketplace insurance coverage and assists in the application process. Works with health plans to obtain coverage for uninsured patients seeking services within Connections Health Solutions (CHS). Reconciles daily visits with requested and confirmed applications. Responsible for correcting any claims denied or rejected for eligibility or benefits as it relates to the appropriate payer associated with the individual’s account.
What You'll Bring:
It would be great if you had:
What We Offer:
Full-time only:
All employees (Pool, Part-time and Full-time):
Connections Health Solutions is proud to be a Second Chance Employer.
#INDPHX
EEO Statement
Connections Health Solutions is an equal opportunity employer. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We are committed to creating an inclusive and welcoming environment for all employees and applicants.
Recruitment Fraud Warning
Connections Health Solutions has been made aware of individuals impersonating our recruiters and issuing fraudulent interview invitations and job offers.
Please note:
If you receive a suspicious communication claiming to represent Connections Health Solutions, please contact myRecruiter@connectionshs.com to verify its authenticity before responding.
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