Patient Access Specialist (FT, Days)

Connections Health Solutions•Leesburg, VA

3d•$25 - $27•Onsite

About The Position

Connections Health Solutions is a leading provider of immediate-access behavioral health crisis care. Our team combines medical and recovery-oriented treatment to stabilize individuals in crisis and connect them to community-based resources for ongoing recovery. Founded by emergency room psychiatrists Dr. Chris Carson and Dr. Robert Williamson, our model is physician-led and data-driven, drawing upon 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 invaluable treatment to hundreds of thousands of individuals facing crises. Our commitment remains consistent, to improve access, inspire hope, and provide the right support. Our values shape our decisions, define our culture, and foster continuous learning and growth. We accept people as they are, creating safe spaces where they feel valued and respected. We inspire hope by walking with people side-by-side, showing them grace and compassion. We act with intention, holding ourselves and each other accountable, and doing the right thing. We work as one team, trusting and supporting each other. We embrace change and innovation, striving to find better ways to fulfill our mission. We are on a mission to change the face of behavioral health. Help us save lives and make a difference.

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
State of Virginia Fingerprint Clearance
Must be able to pass Virginia Department of Behavioral Health & Developmental Services (VA DBHDS) background check
Must be able to pass Virginia Department of Social Services (VA DSS) Office of Background Investigations - Central Registry Search
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 Health care or related field
Bilingual in Spanish

Responsibilities

Facilitates timely access to care by ensuring patient eligibility and that benefits are verified prior to service and updates the information in the Electronic Health Record (EHR) accordingly.
Assesses and determines if a patient qualifies for Medicaid or Federal Marketplace insurance coverage and assists in the application process for uninsured patients.
Works with health plans to obtain coverage for uninsured patients seeking services within Connections Health Solutions (CHS).
Reconciles daily visits with requested and confirmed applications and is 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.
Completes prior authorizations for scheduled services by coordinating with insurance companies, providers, and clinical staff to obtain timely approvals.
Ensures the accuracy of patient demographic information, updating as necessary.
Verifies 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 patients 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.
Updates Electronic Health Record (EHR) with pertinent information required for timely and accurate billing.
Resolves registration and authorization issues during the individual in crisis visit.
Reviews eligibility software daily to correct errors identified during the individual's visit.
Assists individual's with identifying the appropriate Financial Assistance Program that meets their needs.
Coordinates additional information obtained with clinical operations and RCM teams.
Performs check-out review to ensure that no additional information is needed before claim submission.
Performs all other duties as assigned.

Benefits

Comprehensive health insurance, including Medical, Dental, Vision, Accident, Critical Illness, and Hospital Indemnity
Basic Life, AD&D, Short and Long-Term Disability paid by CHS
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 and dependent care)
401k company match after 6 months (50% of deferrals up to 6% of compensation)
Generous PTO starting at 160 hours accrued annually
12 recognized company holidays
Company-paid parental leave available to eligible employees
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