Patient Access Specialist

Legacy Behavioral Health • Valdosta, GA

5d

About The Position

Legacy Behavioral Health is seeking a Patient Access Specialist to work at the Lowndes Mental Health Center. The role supports consumers throughout the pre-access process, including appointment scheduling, pre-registration, insurance and eligibility verification, and updating registration information for established patients. The specialist informs consumers about referral authorization requirements, copays, and deductibles, and assists with payment arrangements. Work must be completed accurately and in accordance with required procedures to expedite payment for services and avoid authorization penalties. Duties also include answering and directing calls, processing referrals, running eligibility and compliance checks, and completing questionnaires for Medicare, Medicaid, insurance, and self-pay consumers.

Legacy Behavioral Health provides support across 10 counties in South Georgia and states that individualized care, quality of care, and support can help transform lives. The position may occasionally require travel to another work site, with arrangements made to attend as required. The work environment is well-lit and temperature- and humidity-controlled, and includes moving mechanical parts.

Physical demands include sitting, walking, and standing, with standing or walking for up to 25% of working time; generally lifting, carrying, pushing, or pulling no more than 10 pounds of force; occasional bending and kneeling; and use of a computer keyboard for up to 75% of working time. Good manual and finger dexterity, visual acuity, and depth perception are needed. Speaking and hearing are essential to the communication requirements of the position.

Requirements

• High school diploma or GED.
• Basic computer skills.
• Ability to analyze data for improvement opportunities.
• Discretion in handling confidential organizational and consumer-protected information.
• Excellent interpersonal, verbal, and written communication skills, and teambuilding ability.
• Valid Georgia driver's license.
• Ability to meet the physical demands described, including computer keyboard use, manual dexterity, and essential speaking and hearing.

Responsibilities

• Schedule appointments according to specified protocols.
• Pre-register new and established consumers.
• Verify insurance and eligibility for consumers and update registration information for established patients.
• Inform consumers of referral authorization requirements, copays, and deductibles due.
• Assist consumers in securing payment arrangements.
• Perform duties accurately and follow required procedures and work 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.

Benefits

• Health insurance, with options through Blue Cross Blue Shield and United Healthcare, for full-time employees.
• 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, with pay regularly compared to the market and consideration of 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 a 3% match after one year.
• Employee Assistance Program for full-time and part-time employees, including legal assistance, financial consultations, work-life specialists, and up to four counseling sessions.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED