Patient Services & Eligibility Specialist

Accessia Health; Midlothian (VA); On-site; USD 36,000 - 54,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

401(k) retirement plan

Paid time off

Holidays

Job summary

Accessia Health is seeking a Patient Services Representative in Virginia to serve as the first contact for patients and providers, guiding inquiries about program eligibility, enrollment procedures, and available resources. You will ensure timely, HIPAA-compliant documentation.

You will perform eligibility reviews, data entry, and documentation management in a high-volume, detail-oriented environment, maintaining confidentiality and accuracy while supporting access to care.

Qualifications

• High school diploma or equivalent.
• 1–3 years of experience in healthcare, call center, benefits coordination, or related service environment.
• Proficiency in Microsoft Office applications and data entry systems.
• Basic mathematical ability to calculate income-based eligibility thresholds.
• Clear written and verbal communication skills.
• Ability to manage multiple tasks in a structured, high-volume work environment.

Responsibilities

• Respond to inbound and outbound calls, emails, and written inquiries regarding program eligibility and application procedures
• Provide accurate information regarding program guidelines, covered and non-covered services, and enrollment processes
• Review, verify, and process eligibility and assistance documentation in accordance with established procedures
• Enter and maintain complete and accurate data in the organization’s patient management system
• Initiate follow-up communication when additional documentation or clarification is required
• Verify continued eligibility for active patients in accordance with program requirements
• Identify and correct documentation errors in a timely manner
• Maintain strict confidentiality of patient and organizational information
• Comply with HIPAA privacy requirements and internal compliance standards
• Complete assigned duties within established productivity and quality benchmarks

Skills

Communication skills

Data entry accuracy

HIPAA knowledge

Multitasking

Written and verbal communication

Education

Associate or bachelor’s degree in healthcare/social work/related

Tools

Microsoft Office

Job description

Accessia Health is seeking a Patient Services Representative in Virginia to serve as the first contact for patients and providers, guiding inquiries about program eligibility, enrollment procedures, and available resources. You will ensure timely, HIPAA-compliant documentation.

You will perform eligibility reviews, data entry, and documentation management in a high-volume, detail-oriented environment, maintaining confidentiality and accuracy while supporting access to care.