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Patient Access Specialist

2 months ago

Harrisburg PA United States Connections Health Solutions Full time
Overview:
***Hybrid near Harrisburg, PA***

We’re not just behavioral health people—we’re crisis people.

Connections has built a model that combines medical and recovery-oriented treatment that gets people connected to community-based resources and back to their lives faster. Our aim is for solutions, not just stop-gaps. Real support, not restriction. We have proven that our model improves access, creates hope and makes the behavioral health crisis system work better, and we’re finding better ways to do it every day.

Our story

Originally founded by two emergency room psychiatrists, Dr. Chris Carson and Dr. Robert Williamson, Connections Health Solutions brings 30 years of experience serving individuals in crisis and operates two of the nation’s largest and most studied crisis response centers and is currently expanding to more states. Since opening our doors, we have provided care and treatment for hundreds of thousands of individuals in crisis.
Responsibilities:

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.

Researches and resolves registration and enrollment issues during an individual's stay.
Ensures the accuracy of patient demographic information, updating as necessary.
Verifies eligibility and benefits for daily visits in accordance with CHS procedures.
Assists with obtaining missing data to support eligibility determinations.
Works with CHS staff and health plans to assist individuals with completing applications for enrollment with Medicaid plans.
Collects and communicates necessary information regarding individual’s insurance carrier.
Tracks Medicaid applications, to ensure completeness and acceptance.
Updates Electronic Health Record (EHR) with pertinent information required for timely and accurate billing.
Resolves registration and authorization issues during the individual in crisis visit.
Review eligibility software daily to correct errors identified during the individual's visit.
Assist individual's with identifying the appropriate Financial Assistance Program that meets their needs.
Coordinate additional information obtained with clinical operations and RCM teams.
Performs check out review to ensure that no additional information is needed before claim submission.
Performs all other duties as assigned.
Qualifications:

What You'll Bring:

High School diploma
Patient registration in a multi-specialty or Hospital environment
2 years of medical billing (eligibility)
Working knowledge of Medicaid, Medicare, and Commercial products
Must pass the following background checks
Child Abuse Clearance
FBI Criminal Background Check
Pennsylvania State Police Criminal Record Check
Level 1 Fingerprint clearance card
The Company has a mandatory vaccination policy. All successful applicants must be fully vaccinated, including showing proper documentation, or otherwise be exempt pursuant to the Company’s exemption process prior to their start date as a condition of employment

It would be great if you had:

Bachelor’s degree in Health care or related field
5 years physician, hospital, and/or facility billing within a multi-specialty environment
Bilingual in Spanish

What We Offer:

Full-time only:

Employees (and their families) are offered comprehensive health insurance, including Medical, Dental, Vision, Accident, Critical Illness, and Hospital Indemnity
CHS pays for Basic Life, AD&D, Short and Long-Term Disability
Voluntary Life insurance option for employees and their families
Health Savings Accounts (with $1,000 to $2,000 employer contribution depending on plan)
Flexible Spending Accounts (health care and dependent care)
401k company match after 6 months (50% of deferrals up to 6% of compensation)
Generous PTO starting at 160 hours accrued annually and 12 recognized company holidays

All employees (Pool, Part-time and Full-time):

Employee Assistance Program to help with confidential emotional support, work life solutions, financial solutions, legal assistance, or online support
Online Subscription to Headspace, a digital mindfulness and meditation platform
After 90 days, you are auto enrolled in the 401k Plan

The typical hiring range for this role is $20.00 - $22.75 per hour.

#indpa

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.