Patient Access Specialist (FT, Days)

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.

What You'll Bring:

• High School diploma or equivalent
• Patient registration in a multi-specialty or Hospital environment
• 2 years of medical billing (eligibility)
• Working knowledge of Medicaid, Medicare, and Commercial products
• 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
• Bili