Patient Access & Benefits Specialist (Medicaid/Enrollment)

Connections Health Solutions; Phoenix (AZ); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Health insurance

401k company match

Paid time off

Parental leave

Job summary

Connections Health Solutions is seeking a Patient Access Specialist in Phoenix, AZ to verify patient eligibility and benefits before services. You will update the EHR, assist in Medicaid and marketplace enrollments, and coordinate with health plans to ensure coverage for uninsured patients.

You will reconcile daily visits with applications, address denied eligibility issues, and track Medicaid submissions. Strong billing knowledge and Spanish bilingual skills are a plus for this role.

Qualifications

• High School diploma or equivalent required.
• 2 years of medical billing experience (eligibility).
• Working knowledge of Medicaid, Medicare, and commercial insurance products.

Responsibilities

• Verify patient eligibility and benefits prior to service.
• Update EHR with eligibility and demographic information.
• Assist with Medicaid enrollment applications and coordination with health plans.
• Reconcile daily visits with requested and confirmed applications.
• Correct claims denied or rejected for eligibility or benefits.
• Track Medicaid applications to ensure completeness and acceptance.
• Update EHR for timely and accurate billing information.
• Assist in obtaining missing data to support eligibility determinations.
• Coordinate information with clinical operations and RCM teams.

Skills

Spanish (bilingual)

Medical billing

Eligibility verification

Education

High School diploma or equivalent

Bachelor’s degree in healthcare (preferred)

Job description

Connections Health Solutions is seeking a Patient Access Specialist in Phoenix, AZ to verify patient eligibility and benefits before services. You will update the EHR, assist in Medicaid and marketplace enrollments, and coordinate with health plans to ensure coverage for uninsured patients.

You will reconcile daily visits with applications, address denied eligibility issues, and track Medicaid submissions. Strong billing knowledge and Spanish bilingual skills are a plus for this role.