Patient Access Specialist

Helio Health; City of Utica (NY); On-site; USD 57,308,000 - 65,794,000; Full time

Benefits offered by this job

Health insurance

Dental & Vision

Vacation & Sick leave

401(k) 5% match

Disability insurance

Life insurance

EAP

Job summary

Helio Health is seeking a Patient Access Specialist (PAS) to act as the gatekeeper for billable programs. The role involves collecting insurance data, processing records, and entering data into our HIT system.

This full-time position is based in Utica, NY and offers a structured schedule (Sun-Thu) with a shift that includes weekends. The PAS will work with patients, payers, and agencies to determine benefits, obtain pre-authorizations, and address questions.

Qualifications

• High School diploma or GED required; an Associate degree is preferred.
• Strong verbal and written communication skills are essential.
• Knowledge of Medicaid and third-party claim procedures.
• Experience with Accounts Receivable is desirable.
• Proficiency with Microsoft Office and basic computer applications.

Responsibilities

• Handle billing orientation paperwork and related duties.
• Collect co-pays, self-pays and issue cash receipts.
• Review Medicaid and third-party payment methods.
• Assist with Medicaid applications and gather required documents.
• Enter billing data and perform audits in the HIT system.

Skills

Verbal communication

Written communication

Medicaid knowledge

Third-Party claim procedures

Accounts Receivable

Education

High School diploma or GED

Associate degree preferred

Tools

HIT system

Microsoft Office

Job description

Overview

Helio Health is on a mission to treat and promote recovery from the effects of substance use, mental health disorders, and other behavioral healthcare issues. ThePatient Access Specialist (PAS) are the gatekeepers for all the billable Helio Health programs. They meet with patients entering our programs to collect necessary data including insurance and other information to ensure payment for services. The PAS also processes medical records and enters clinical data into our HIT system necessary to for our team of healthcare providers.This position will work on aFull-Time basis out of our Insights Outpatient CCBHC Program.

Schedule: Sunday - Thursday

Shift: Sunday, Tuesday, Wednesday and Thursday 8:00am - 4:30pm, Monday 11:30am - 8:00pm.

Pay: $20.00 - $23.00 per hour.

In addition to our comprehensive benefits package, Full-Time colleagues, this position is eligible for a Sign-On incentive up to $1,500!

Responsibilities

• Conduct all related paperwork and other duties associated with billing orientation.
• Collect co-pays, self-pays and produce cash receipts.
• Review other methods of payment such as third-party and Medicaid.
• Assist patients with Medicaid applications, obtain patient ID, rent receipts, SS#, birth certificate and other necessary documentation to complete the application.
• Utilize the H.I.T. system to enter all billing information, system audits and update all relevant data as needed.
• Works with patients, third party payers, Medicaid, State and Federal agencies to collect payment, address questions and resolve concerns.
• Confirm benefit eligibility and determine level of benefits.
• Obtain Pre-Authorization from insurance companies for services if patient has not done so.
• Consistent follow up with all insurance companies to work claim denials.
• Prepares weekly and monthly reports of Medicaid billing for the Manager of Revenue Cycle Management and Medical Records.
• Maintain an orderly flow of patients. Ensure patients are directed to the appropriate area after they have checked in.
• Initiate cash receipt and collect cash, check, and credit card payments for all patients.
• Complete chart audits after patient have terminated from the program.
• Provide Reception Desk coverage when necessary.
• Perform other duties as assigned.

Qualifications

• High School Degree /GED required, Associate’s degree preferred.
• Excellent verbal and written communication skills.
• Knowledge of Medicaid and Third-Party claim procedures.
• Proficiency with basic computer applications, including Microsoft Office.
• Experience in Accounts Receivables.

Our Comprehensive Employee Benefits Package Includes:

• Health insurance including dental and vision for employees and families.
• Paid Vacation and Sick leave - No Waiting Period for accruals.
• Paid holidays, including a floating birthday holiday.
• 401(k) plan with up to 5% company match.
• Company paid short-term disability insurance.
• Company sponsored life insurance.
• Employee Assistance Program (EAP).

Helio Health provides equal opportunity to all employees and applicants for employment, without regard to race, creed, color, sex (including pregnancy, gender identity and sexual orientation), parental status, religion, national origin, citizenship, status as a victim of domestic violence, age, military or veteran status, handicap or disability, family medical history or predisposing genetic characteristics or carrier status, marital status, family status, political affiliation, felony conviction record, status as a victim of a crime, or status as an employee who has complained about discrimination, filed a charge of discrimination, or participated in an employment discrimination investigation or lawsuit, or any other categories, status or activity protected by federal, state or local law.

Salary and hourly compensation ranges are provided in accordance with NYS law and are based on Helio Health\'s good faith belief of what is accurate at the time of posting. Salary and hourly compensation offers are based on candidate\'s education level and experience relevant to the position and also take into account information provided by the hiring manager and program.