Patient Access Specialist
C
Connections Health SolutionsBehavioral health
This is a fully remote position in these states: AL, AR, AZ, CA, CO, CT, DC, FL, GA, IL, IN, KS, KY, LA, MD, ME, MI, MN, MT, NC, NJ, NY, OH, OR, PA, SC, TN, TX, VA, WA, WIFull-TimeJunior
Salary25 - 27 USD per year
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Job Details
- Languages
- Bilingual in Spanish
- Experience
- 2 years of medical billing (eligibility)
Requirements
- High school diploma or equivalent.
- Patient registration experience in a multi-specialty or hospital environment.
- 2 years of medical billing experience in eligibility.
- Working knowledge of Medicaid, Medicare, and commercial products.
- Virginia State Fingerprint Clearance.
- Ability to pass the Virginia Department of Behavioral Health & Developmental Services background check.
- Ability to pass the Virginia Department of Social Services Office of Background Investigations Central Registry Search.
- Meet the company's mandatory vaccination policy or qualify for an exemption before the start date.
- Bachelor’s degree in Health care or a related field is preferred.
- Bilingual Spanish is preferred.
Responsibilities
- Verify eligibility and benefits for daily visits and obtain missing information needed for eligibility determinations.
- Assist patients with Medicaid plan and Federal Marketplace enrollment applications, including tracking applications for completeness and acceptance.
- Complete prior authorizations by coordinating with insurance companies, providers, and clinical staff.
- Research and resolve registration, enrollment, and authorization issues during an individual's stay or crisis visit.
- Ensure patient demographic information is accurate and update the Electronic Health Record with information needed for timely billing.
- Reconcile daily visits with requested and confirmed applications and correct claims denied or rejected for eligibility or benefits issues.
- Review eligibility software daily and correct errors identified during the individual's visit.
- Help individuals identify an appropriate Financial Assistance Program and communicate insurance information to relevant teams.
- Coordinate additional information with clinical operations and RCM teams and complete check-out reviews before claim submission.
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