Patient Access Specialist
About The Position
Helio Health is on a mission to treat and promote recovery from the effects of substance use, mental health disorders, and other behavioral healthcare issues. The Patient Access Specialist (PAS) are the gatekeepers for all the billable Helio Health programs. They meet with patients entering our programs to collect necessary data including insurance and other information to ensure payment for services. The PAS also processes medical records and enters clinical data into our HIT system necessary to for our team of healthcare providers. This position will work on a Full-Time basis out of our Insights Outpatient CCBHC Program.
Requirements
- High School Degree /GED required
- Excellent verbal and written communication skills.
- Knowledge of Medicaid and Third-Party claim procedures.
- Proficiency with basic computer applications, including Microsoft Office.
- Experience in Accounts Receivables.
Nice To Haves
- Associate’s degree preferred.
Responsibilities
- Conduct all related paperwork and other duties associated with billing orientation.
- Collect co-pays, self-pays and produce cash receipts.
- Review other methods of payment such as third-party and Medicaid.
- Assist patients with Medicaid applications, obtain patient ID, rent receipts, SS#, birth certificate and other necessary documentation to complete the application.
- Utilize the H.I.T. system to enter all billing information, system audits and update all relevant data as needed.
- Works with patients, third party payers, Medicaid, State and Federal agencies to collect payment, address questions and resolve concerns.
- Confirm benefit eligibility and determine level of benefits.
- Obtain Pre-Authorization from insurance companies for services if patient has not done so.
- Consistent follow up with all insurance companies to work claim denials.
- Prepares weekly and monthly reports of Medicaid billing for the Manager of Revenue Cycle Management and Medical Records.
- Maintain an orderly flow of patients. Ensure patients are directed to the appropriate area after they have checked in.
- Initiate cash receipt and collect cash, check, and credit card payments for all patients.
- Complete chart audits after patient have terminated from the program.
- Provide Reception Desk coverage when necessary.
- Perform other duties as assigned.
Benefits
- Health insurance including dental and vision for employees and families.
- Paid Vacation and Sick leave - No Waiting Period for accruals.
- Paid holidays, including a floating birthday holiday.
- 401(k) plan with up to 5% company match.
- Company paid short-term disability insurance.
- Company sponsored life insurance.
- Employee Assistance Program (EAP).
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
