Patient Access Specialist - San Francisco, CA

Connections Health Solutions • San Francisco, CA

1d • $26 - $32

About The Position

If you’re passionate about making a meaningful impact, working in a mission-driven environment, and helping redefine behavioral health crisis care, we invite you to join us at Connections Health Solutions. Together, we’r e saving lives and changing the face of behavioral health. We’re not just behavioral health people— we’re crisis people . When individuals need support now , we provide immediate-access behavioral health crisis care that stabilizes, supports, and connects people to the resources they need to continue their recovery. Founded by emergency room psychiatrists, our physician-led, data-driven model is backed by more than 15 years of crisis care expertise . Recognized by SAMHSA and the National Council for Mental Wellbeing as a national best practice, we’ve delivered critical crisis care to thousands of people during some of the most challenging moments of their lives. Our mission is simple and unwavering: providing immediate care to people in crisis and connecting them to long-term support within their community. Located in San Francisco’s South of Market neighborhood, the RESET Center provides an alternative destination for individuals who are found to be publicly intoxicated (due to alcohol and/or d rugs) and would otherwise be transported to the emergency department or jail. In collaboration and partnership with local law enforcement and public health agencies, the RESET Center aims to effectively divert intoxicated individuals away from the criminal justice and/or healthcare systems to improve outcomes, reduce systemic burden, and support connection to needed resources within the community.

Requirements

• 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

Nice To Haves

• Bachelor’s degree in Healthcare or related field
• 5 years physician, hospital, and/or facility billing within a multi-specialty environment
• Bilingual in Spanish

Responsibilities

• 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 participant qualifies for Medicaid or the Federal Marketplace insurance coverage and assists in the application process.
• Works with health plans to obtain coverage for uninsured participants 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 participant 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 participants 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.
• Update Electronic Health Record (EHR) with pertinent information required for timely and accurate billing.
• Resolve registration and authorization issues during the individuals 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.
• Perform check out review to ensure that no additional information is needed before claim submission.
• Performs all other duties as assigned.

Benefits

• 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 $1,000 to $2,000 employer contribution depending on plan)
• Flexible Spending Accounts (health care, dependent care, and commuter benefits for eligible transportation expenses)
• 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
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees