Patient Access Specialist (FT, Days)

Connections Health Solutions; Leesburg (VA); On-site; USD 34,000 - 37,000; Full time

Benefits offered by this job

Health insurance

401k company match

PTO (paid time off)

Parental leave

Employee Assistance Program (EAP)

Job summary

Connections Health Solutions is a leading behavioral health provider delivering immediate-access crisis care. The Patient Access Specialist ensures timely access to care by verifying benefits and assisting with insurance enrollment, using the EHR to update eligibility and billing information.

The role requires medical billing experience, Medicaid/Medicare knowledge, and the ability to coordinate with plans and clinical teams. A high school diploma is required; bachelor’s degree is a plus.

Qualifications

• Experience with medical billing and eligibility processes.
• Familiarity with Medicaid, Medicare, and commercial products.
• Ability to pass required background checks and vaccinations.

Responsibilities

• Verify patient eligibility and benefits for services in the EHR.
• Assist with Medicaid and Federal Marketplace enrollment applications.
• Reconcile daily visits with submitted applications and approvals.
• Correct denied or rejected claims related to eligibility or payer effects.
• Update the EHR with relevant patient demographics and billing data.
• Coordinate with CHS staff and health plans to obtain coverage for uninsured patients.

Skills

Medical billing

Medicaid knowledge

Medicare knowledge

Background checks

Vaccination policy compliance

Education

High School diploma or equivalent

Bachelor’s degree (nice to have)

Job description

Connections Health Solutions is a leading provider of immediate-access behavioral health crisis care. Our team combines medical and recovery-oriented treatment to stabilize individuals in crisis and connect them to community-based resources for ongoing recovery.

Founded by emergency room psychiatrists Dr. Chris Carson and Dr. Robert Williamson, our model is physician-led and data-driven, drawing upon 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 invaluable treatment to hundreds of thousands of individuals facing crises. Our commitment remains consistent, to improve access, inspire hope, and provide the right support.

Our values shape our decisions, define our culture, and foster continuous learning and growth.

We accept people as they are, creating safe spaces where they feel valued and respected. We inspire hope by walking with people side-by-side, showing them grace and compassion. We act with intention, holding ourselves and each other accountable, and doing the right thing. We work as one team, trusting and supporting each other. We embrace change and innovation, striving to find better ways to fulfill our mission.

We are on a mission to change the face of behavioral health. Help us save lives and make a difference.

What You’ll Do:

ThePatient 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 Federal Marketplace insurance coverage and assists in the application process. This position works with health plans to obtain coverage for uninsured patients seeking services within Connections Health Solutions (CHS). The PAS r econciles daily visits with requested and confirmed applications and is 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.

• Researches and resolves registration and enrollment issues during an individual's stay.
• Complete prior authorizations for scheduled services by coordinating with insurance companies, providers, and clinical staff to obtain timely approvals.
• Ensures the accuracy of patient demographic information, updating as necessary.
• Verify eligibility and benefits for daily visits in accordance with CHS procedures.
• Assists with obtaining missing data to support eligibility determinations.
• Works with CHS staff and health plans to assist patients with completing applications for enrollment with Medicaid plans.
• Collects and communicates necessary information regarding individual’s insurance carrier.
• Tracks Medicaid applications, to ensure completeness and acceptance.
• Update Electronic Health Record (EHR) with pertinent information required for timely and accurate billing.
• Resolve registration and authorization issues during the individual in crisis visit.
• Review eligibility software daily to correct errors identified during the individual's visit.
• Assist individual's with identifying the appropriate Financial Assistance Program that meets their needs.
• Coordinate additional information obtained with clinical operations and RCM teams.
• Perform check-out review to ensure that no additional information is needed before claim submission.
• Performs all other duties as assigned.

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
• State of Virginia Fingerprint Clearance
• Must be able to pass Virginia Department of Behavioral Health & Developmental Services (VA DBHDS) background check
• Must be able to pass Virginia Department of Social Services (VA DSS) Office of Background Investigations - Central Registry Search
• The Company has a mandatory vaccination policy. All successful applicants must be fully vaccinated, including showing proper documentation, or otherwise be exempt pursuant to the Company’s exemption process prior to their start date as a condition of employment

It would be great if you had:

• Bachelor’s degree in Health care or related field

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 and dependent care)
• 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.

Actual compensation is based on relevant experience, education, internal equity, and budget.

$25 - $27 USD

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.