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Patient Access Specialist

3 months ago

Kirkland, United States Connections Health Solutions Full time
Overview

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:

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 patient’s account.

  • Ensures the accuracy of patient demographic information, updating as necessary.
  • Verify eligibility and benefits for daily visits in accordance with CHS procedures.
  • Assists with obtaining missing data to support eligibility determinations.
  • Work with CHS staff and health plans to assist patients with completing applications for enrollment with Medicaid plans.
  • Collects and communicates necessary information regarding patient’s insurance carrier.
  • Track Medicaid applications, to ensure completeness and acceptance.
  • Update Electronic Health Record (EHR) with pertinent information required for timely and accurate billing.
  • Resolve registration and authorization issues during the patient visit.
  • Review eligibility software daily to correct errors identified during the patient visit.
  • Assist patients with identifying the appropriate Financial Assistance Program that meets their needs.
  • Coordinate additional information obtained with clinical operations and RCM teams.
  • Perform client check out review to ensure that no additional information has been provided before claim submission.
  • Perform other duties as directed by the Patient Access Manager.
Qualifications

What You'll Bring:

  • High school diploma 
  • Patient registration in a multi-specialty or Hospital environment 
  • 2 years of medical billing (eligibility) 
    • Verifying health plan eligibility and benefits and/or medical billing 
  • Working knowledge of Medicaid, Medicare and Commercial products 

It would be great if you had:

  • 2 years of experience working in a behavioral health managed care and clinical setting
  • Bilingual in Spanish 
  • Bachelor’s Degree in behavioral health, social work, medical coding, or related field 
  • 5 years physician, hospital and/or facility benefit verification/billing experience within a multi-specialty environment 
  • Current HEA Plus assister qualifications 
  • Certified training (CPR First Aid, etc.) 

What We Offer:

  • 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)
  • 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 with company match (50% of deferrals up to 6% of compensation after 6 months)
  • Generous PTO starting at 160 hours accrued annually and 12 recognized company holidays

#indwa

 The typical hiring range for this role in Washington is $25.01 - $28.16.