PATIENT ACCESS SPECIALIST

Coastal Horizons Center; Wilmington (NC); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Educational loan repayment programs

Career growth

401K

Paid time off

14 paid holidays

Job summary

The Patient Access Specialist at Coastal Horizons Center coordinates intake by reviewing demographic and financial information, and prepares financial agreements based on insurer details.

The role requires familiarity with health care systems, DSM and ICD-10 codes, and accurate insurance billing; strong Excel skills and organizational abilities are essential for timely authorizations and payments.

Qualifications

• High school diploma or GED with 2–3 years experience related to responsibilities specified.
• Knowledge of electronic health care systems, clinical documentation and standards; familiarity with DSM and ICD-10 codes.
• Experience with identifying insurance benefits and collecting payments; basic Excel skills.

Responsibilities

• Review client intake paperwork including insurance information to determine mental health benefits.
• Prepare financial agreements and obtain client signatures.
• Schedule intake appointments with the appropriate clinician and coordinate authorizations.

Skills

Interpersonal skills

Analytical skills

Organizational skills

Problem solving

MS Excel

Education

High school diploma or GED

Tools

MS Office

Job description

JOB TITLE PATIENT ACCESS SPECIALIST

LOCATION Wilmington NC New Hanover County REQUIRED EDUCATIONALEXPERIENTIAL QUALIFICATIONS High school diploma or GED with 2 3 years experience related to responsibilities specified Knowledge of electronic health care systems clinical documentation and standardsFamiliar with DSM and ICD 10 codes Previous experience with identifying insurance benefits and collecting paymentsKnowledge of state funded terminologyBasic computer skills including Excel Strong organizational problem solving and analytical skillsWorking knowledge of cash management principles andor procedures

GENERAL STATEMENT OF DUTIES

The Patient Access Specialist is responsible for reviewing and verifying client demographic and financial information prior to intake Responsible for preparing financial agreement based on information obtained from private insurer and obtaining client signature Responsible for coordinating client with appropriate clinician based on clients funding and clinician availability Responsible for tracking and submitting authorizations accurately and efficiently to ensure all rendered services are authorized within contractual guidelines and billable

ESSENTIAL DUTIES AND TASKS

Review client intake paperwork including insurance information to determine mental health benefits; if client is uninsured determine eligibility for state funding Prepare financial agreements and obtain client signaturesSchedule intake appointments with the appropriate clinicianSubmit enrollments and updates to MCOsMonitor clients utilization of unmanaged units and notify clinicians when authorization for continued services is needed Review clinical documentation for completeness and submit to MCO for authorization requests Follow up with MCO to determine approval or denial of authorization requests in a timely manner and effectively communicate with clinicianWork directly with MCO and private insurancesExcellent interpersonal and communication skills possesses experience and competency in customer relation skillsAbility to organize and prioritize work in a stressful environment Encourages teamwork; energetic and motivates team and individuals Maintains a cooperative work environment to foster Coastal Horizons Centers missions and values to meet goals Proficient with MS OfficePerforms miscellaneous job related duties as assigned Must be able to perform sedentary work exerting up to ten 10 pounds of force occasionally andor a negligible amount of force frequently or constantly to lift carry push pull or otherwise move objects Must possess the visual acuity to prepare and analyze data and figures and operate computer terminal

SALARY & BENEFITS

Competitive salary based on experienceComprehensive medical dental and vision insuranceEducational loan repayment programs & Career growthRetirement savings plan401KPaid time off programs rollover hours 14 paid holidaysEmployee engagement activities resource groups and diversity events

REQUEST FOR ACCOMIDATIONS

If you require an accommodation during the application process please contact us at jobscoastalhorizonsorg

EEO STATEMENT

Coastal Horizons is an Equal Employment Opportunity EEO employer All qualified applicants will receive consideration for employment without regard to race color religion sexual orientation gender gender identity and expression national origin age disability or protected veteran status We celebrate diversity and are committed to creating an inclusive environment for all of our associates