Patient Access Specialist

The Patient Access Specialist manages day to day clerical duties as well as some revenue cycle tasks for the assigned site. Responsibilities include coordinating and managing client care services within the Residential Treatment programs, including client/front office supervision, word processing duties, collection and documentation of client fees, implementation and management of reimbursement issues third party payers, record management, receiving/channeling phone calls among other office management tasks, while working closely with administrative, billing and clinical personnel. The Specialist must always function with the recognition of their impact on downstream workflows and will help maintain a culturally, gender and trauma responsive environment.

Essential Duties and Responsibilities:

  • Perform day to day clerical duties of the program, including front office supervision, receiving/ channeling phone calls, managing mail and correspondence; word processing duties, filing, record management, greeting clientele and visitors.
  • Ensure financial and billing information is updated and facilitate timely and accurate billing to include claim submission and reconciliation of payment; facilitate resolution of billing errors.
  • Assist with data management and data entry/collection needs of the program, including but not limited to client information sheets, tracking logs, drug screen requisitions, client surveys, etc.
  • Register clients in the Electronic Health Record, entering demographics, insurance information and emergency contacts, client photo, in addition to other required information, timely and accurately. Scan client information into the document library as needed.
  • Verify insurance benefits before services and at the beginning of every month, or as otherwise needed.
  • Collect and post client fees.
  • Communicate with external vendors to order program supplies as needed.
  • Enter IT and facilities tickets as needed.
  • Maintain compliance in documentation with agency and program standards, DSS and ASAM guidelines, accreditation, facility licensure and funding source requirements.
  • Participate in all required internal and external meetings, supervisions and trainings as assigned.
  • Meet and/or exceed agency, funder and contractual performance outcomes measures.
  • May perform other duties assigned by supervisor.

Required Knowledge, Skills, Abilities and Other Characteristics:

Knowledge Of:

  • Confidentiality guidelines
  • Billing and insurance authorizations
  • Electronic Healthcare Record systems
  • General office software, particularly Microsoft Office

Ability To:

  • Communicate effectively both verbally and in writing
  • Maintain a positive demeanor in all communications
  • Manage priorities effectively to meet deadlines and demonstrate multi-tasking skills with attention to detail
  • Assimilate new information and technology

Education and Experience:

  • High school diploma or equivalent.
  • Three to four years' experience in clerical support and/or billing services in a community or behavioral health setting, residential preferred

Other:

  • Must be dependable and reliable; detailed oriented; and able to interface easily with clients, staff, and referral sources.
  • Must be able to meet routine office physical demands including climbing stairs, carrying up to 20 pound objects and possess the dexterity and vision to operate office computers and equipment.
  • Must have a valid Diver's License.
  • Must successfully complete the introductory probationary employment period.

This job description covers the most significant duties but does not exclude other assignments or related duties.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.