Patient Access Specialist

Insurance Verification & Authorization Management

• Communicate with insurance companies to obtain authorizations and clarify coverage details.
• Verify eligibility and benefits for daily visits in accordance with CHS procedures.
• Collect and communicate necessary information regarding an individual’s insurance carrier.
• Resolve registration and authorization issues that arise during an individual’s crisis visit.

Patient Registration & Demographic Accuracy

• Ensure the accuracy of patient demographic information and update records as needed.
• Research and resolve registration and enrollment issues that occur during an individual’s stay.
• Assist with obtaining missing data required to support eligibility determinations.
• Maintain accurate and complete patient records to support operational and billing processes.

Medicaid Enrollment & Financial Assistance Support

• Assist individuals with completing applications for enrollment in Medicaid plans.
• Track Medicaid applications to ensure completeness and timely acceptance.
• Support patients in identifying the appropriate Financial Assistance Program based on their needs.
• Provide guidance and support to patients navigating insurance coverage and enrollment processes.

Electronic Health Record (EHR) Documentation & Billing Support

• Update the Electronic Health Record (EHR) with pertinent information required for accurate and timely billing.
• Review eligibility verification software daily to identify and correct errors associated with patient visits.
• Perform a check-out review to confirm that all required information has been obtained prior to claim submission.
• Ensure documentation supports billing accuracy and compliance with organizational procedures.

Operational Coordination & Cross-Functional Collaboration

• Coordinate information obtained during the registration and verification process with clinical operations and Revenue Cycle Management (RCM) teams.
• Communicate effectively with internal staff and external insurance providers to resolve issues impacting eligibility or billing.
• Support efficient patient flow by resolving administrative issues quickly and accurately.
• Maintain clear communication with operational teams to ensure continuity of care and administrative accuracy.

Additional Responsibilities

• Support departmental workflows and operational processes as needed.
• Perform all other duties as assigned.

This is a fully remote position in these states: AL, AR, AZ, CA, CO, CT, DC, FL, GA, IA, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MT, NC, NJ, OH, OR, PA, RI, SC, TN, TX, UT, VA, WA

What You'll Bring

• 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

It would be great if you had:

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

What We Offer

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
• Company‑paid parental leave available to eligible employees

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

Connections Health Solutions is proud to be a Second Chance employer.

Inclusion & Equal Opportunity

Connections Health Solutions is an Equal Opportunity Employer. We welcome applicants of all backgrounds and do not discriminate based on race, color, religion, sex, gender identity, national origin, age, disability, veteran status, sexual orientation, or any other protected characteristic.

EEO Statement

Connections Health Solutions is an equal opportunity employer. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We are committed to creating an inclusive and welcoming environment for all employees and applicants.