Patient Access & Billing Specialist (Eligibility & Auth)

Omni Family Health; Fresno (CA); On-site; USD 31,000 - 36,000; Full time

Job summary

Omni Family Health is seeking a Patient Access Specialist in Fresno, CA to ensure timely access to care by verifying patient eligibility and benefits and coordinating with health plans for prior authorizations when required.

The role also handles checkout activities, posts charges, resolves billing errors, assists patients with Financial Assistance options, and supports coordination with providers, navigators, and leadership to maintain compliant, efficient patient services.

Qualifications

• High school diploma or GED with healthcare billing experience.
• Know how to verify eligibility and benefits for patients.
• Experience with third-party payer requirements and coding basics.

Responsibilities

• Verify eligibility and benefits for scheduled and same-day appointments per policy.
• Coordinate with health plans to transfer patients to OFH PCP when needed.
• Obtain authorizations for procedures and ensure billing information is complete.
• Update patient accounts to reflect billing details and correct errors before visit.
• Assist patients with Financial Assistance options and coordinate with leadership.
• Maintain HIPAA compliance and participate in QA/QI activities.
• Learn and use NextGen EHR/PMS systems as required.

Skills

Eligibility verification

Billing reconciliation

Customer service

Verbal/written communication

Education

HS diploma or GED

Tools

NextGen EHR

PMS

Job description

Omni Family Health is seeking a Patient Access Specialist in Fresno, CA to ensure timely access to care by verifying patient eligibility and benefits and coordinating with health plans for prior authorizations when required.

The role also handles checkout activities, posts charges, resolves billing errors, assists patients with Financial Assistance options, and supports coordination with providers, navigators, and leadership to maintain compliant, efficient patient services.