Patient Access Specialist (FT, Days)

Why join Connections 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. A bout Connections 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. About the RESET Center, operated by Connections 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. What You'll Do: The Patient Access Specialist 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. In the event a patient does not have insurance, this position assesses and determines if a patient qualifies for Medicaid or the Federal Marketplace insurance coverage and assists in the application process. 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. 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. 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.