Patient Access Specialist (FT, Days)

What Youll Do:

ThePatient Access Specialist facilitatestimelyaccess to care by ensuring patient eligibility andthatbenefits are verified prior to service and updates the information in the Electronic Health Record (EHR) the event a patient does not have insurance this position assesses anddeterminesif a patientqualifies for Medicaid or Federal Marketplace insurance coverage andassists in the application process. This position works with health plans to obtain coverage for uninsured patients seeking services within Connections Health Solutions (CHS). The PAS reconciles daily visits with requested and confirmed applications and is responsible for correcting any claims denied or rejected for eligibility or benefits as it relates to the appropriate payerassociated with the individuals account.

• Researches and resolves registration and enrollment issues during an individuals stay.
• Complete prior authorizations for scheduled services by coordinating with insurance companies providers and clinical staff to obtain timely approvals.
• 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.
• Works with CHS staff and health plans to assist patients with completing applications for enrollment with Medicaid plans.
• Collects and communicates necessary information regarding individuals insurance carrier.
• Tracks 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 individual in crisis visit.
• Review eligibility software daily to correct errors identified during the individuals visit.
• Assist individuals with identifying the appropriate Financial Assistance Program that meets their needs.
• Coordinate additional information obtained with clinical operations and RCM teams.
• Perform check-out review to ensure that no additional information is needed before claim submission.
• Performs all other duties as assigned.

What Youll 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
• State of Virginia Fingerprint Clearance
• Must be able to pass Virginia Department of Behavioral Health & Developmental Services (VA DBHDS) background check
• Must be able to pass Virginia Department of Social Services (VA DSS) Office of Background Investigations - Central Registry Search
• 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 Companys exemption process prior to their start date as a condition of employment

It would be great if you had:

• Bachelors degree in Health care or related field
• 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 $1000 to $2000 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
• Companypaid parental leave available to eligible employees

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
• After 90 days you are auto enrolled in the 401k Plan

Connections Health Solutions is proud to be a Second Chance Employer.

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.

Recruitment Fraud Warning

Connections Health Solutions has been made aware of individuals impersonating our recruiters and issuing fraudulent interview invitations and job offers.

Please note:

• Official communications come only from an email address ending in @.
• We will never extend an offer without completing our formal interview process.
• We will never ask candidates to pay fees purchase equipment or send money as part of the hiring process.

If you receive a suspicious communication claiming to represent Connections Health Solutions please contact to verify its authenticity before responding.