�Front Office- Patient Access Specialist
About The Position
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.
Requirements
- 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 funding terminology
- Possess basic computer skills, including Excel
- Strong organizational, problem solving and analytical skills
- Working knowledge of cash management principles and/or procedures
- 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
- 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
Responsibilities
- Reviewing and verifying client demographic and financial information prior to intake
- Preparing financial agreement, based on information obtained from private insurer, and obtaining client signature
- Coordinating client with appropriate clinician based on clients funding and clinician availability
- Tracking and submitting authorizations accurately and efficiently to ensure all rendered services are authorized within contractual guidelines and billable
- 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
- Performs miscellaneous job-related duties as assigned
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
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
11-50 employees
