Patient Access Specialist
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Job Location:
Wilmington, DE - USA
Monthly Salary:
Not Disclosed
Posted on:
09-11-2025
Vacancies:
1 Vacancy
Department:
Job Summary
At Coastal Horizons our mission is to provide a continuum of professional services to promote healthier lives stronger families and safer communities. We are currently seeking a motivated and passionate PATIENT ACCESS SPECIALIST to join our dynamic team. If youre looking for an opportunity to make a difference we invite you to explore the exciting positions available with us.
JOB TITLE: PATIENT ACCESS SPECIALIST SHALLOTTE OFFICE
REQUIRED EDUCATIONAL/EXPERIENTIAL QUALIFICATIONS
- High school diploma or GED with 2-3 years experience related to responsibilities specified.
- Knowledge of electronic health care systems clinical documentation and standards.
- Familiar with DSM and ICD-10 codes
- Previous experience with identifying insurance benefits and collecting payments
- Knowledge of state funded terminology
- Basic computer skills including Excel
- Strong organizational problem solving and analytical skills.
- Working knowledge of cash management principles and/or procedures.
POSITION HIGHLIGHTS:
The Patient Access Specialist is responsible for reviewing and verifying client demographic and financial information prior to intake. Responsible for preparing financial agreement based on information obtained from private insurer and obtaining client signature. Responsible for coordinating client with appropriate clinician based on clients funding and clinician availability. Responsible for tracking and submitting authorizations accurately and efficiently to ensure all rendered services are authorized within contractual guidelines and billable.
ADDITIONAL INFORMATION:
- Review client intake paperwork including insurance information to determine mental health benefits; if client is uninsured determine eligibility for state funding.
- Prepare financial agreements and obtain client signatures.
- Schedule intake appointments with the appropriate clinician.
- Submit enrollments and updates to MCOs.
- Monitor clients utilization of unmanaged units and notify clinicians when authorization for continued services is needed.
- Review clinical documentation for completeness and submit to MCO for authorization requests.
- Follow up with MCO to determine approval or denial of authorization requests in a timely manner and effectively communicate with clinician.
- Work directly with MCO and private insurances.
- Excellent interpersonal and communication skills possesses experience and competency in customer relation skills.
- Ability to organize and prioritize work in a stressful environment.
- Encourages teamwork; energetic and motivates team and individuals.
- Maintains a cooperative work environment to foster Coastal Horizons Centers missions and values to meet goals.
- Proficient with MS Office.
- Performs miscellaneous job-related duties as assigned.
- Must be able to perform sedentary work exerting up to ten (10) pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift carry push pull or otherwise move objects.
- Must possess the visual acuity to prepare and analyze data and figures and operate computer terminal.
SALARY & BENEFITS:
- Competitive salary based on experience
- Comprehensive medical dental and vision insurance
- Educational loan repayment programs & Career growth
- Retirement savings plan/401K
- Paid time off programs rollover hours 14 paid holidays
- Employee engagement activities resource groups and diversity events
HOW TO APPLY:
Interested candidates should submit their resume and cover letter through our Careers Page. If you require an accommodation during the application process please contact us at .
We look forward to reviewing your application!
EEO STATEMENT
Coastal Horizons is an Equal Employment Opportunity (EEO) employer. All qualified applicants will receive consideration for employment without regard to race color religion sexual orientation gender gender identity and expression national origin age disability or protected veteran status. We celebrate diversity and are committed to creating an inclusive environment for all of our associates.
Required Experience:
IC
Key Skills
- Active Directory
- Identity & Access Management
- LDAP
- SAFe
- Assistive Technologies
- Authentication
- Pediatrics Experience
- NVDA
- Sailpoint
- SSH
- SSO
- Oracle
About Company
Healthier Lives. Stronger Families. Safer Communities. Coastal Horizons promotes healthier lives, stronger families, and safer communities by providing a broad range of effective, evidence-based substance use, mental health, crisis intervention,…
