Patient Access Specialist- Full Time

Legacy Behavioral Health Services Human Resources•Tifton, GA

About The Position

Legacy Behavioral Health is hiring a Patient Access Specialist to work at the Tift Mental Health Center. The role supports consumers throughout the pre-access process, including scheduling appointments according to specified protocols, preregistering new and established consumers, and verifying insurance and eligibility. It also involves updating registration information, informing consumers about referral authorization requirements and expected copays or deductibles, and assisting with payment arrangements. Work must be completed accurately and in accordance with required procedures and processes to expedite payment for services and avoid authorization penalties. Additional duties include answering and directing calls, processing referrals, conducting eligibility and compliance checks, and completing questionnaires for Medicare, Medicaid, insurance, and self-pay consumers. The position may occasionally require travel to another work site.

Requirements

  • High school diploma or GED.
  • Basic computer skills.
  • Ability to analyze data for improvement opportunities.
  • Ability to use discretion when handling confidential organizational and consumer-protected information.
  • Excellent interpersonal, verbal, and written communication skills, and teambuilding ability.
  • Valid Georgia driver's license.

Responsibilities

  • Schedule appointments according to specified appointment protocols.
  • Preregister new and established consumers.
  • Verify insurance coverage and eligibility, and update registration information for established consumers.
  • Inform consumers about referral authorization requirements, copays, and deductibles, and assist with payment arrangements.
  • Complete work accurately and in accordance with procedures and processes to expedite payment and avoid authorization penalties.
  • Answer and direct calls.
  • Work through referrals and run eligibility and compliance checks.
  • Complete questionnaires for Medicare, Medicaid, insurance, and self-pay consumers.
  • Attend another work site on occasion when requested.

Benefits

  • State of Georgia health insurance benefits, with options from Blue Cross Blue Shield and United Healthcare.
  • Flexible benefits including group term life, dependent life, accidental death, short- and long-term disability, dental, vision, legal insurance, long-term care, medical and dependent care spending accounts, and specified critical illness insurance.
  • Competitive compensation regularly compared to the market and based on comparable work experience and education.
  • 24 days of paid leave in the first year.
  • 401(k) and 457(b) retirement plans, with an automatic 2% employer contribution to the 401(k) and an additional 3% match after one year.
  • Employee Assistance Program services, including legal assistance, financial consultations, work-life specialists, and up to four counseling sessions.
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