Patient Access Specialist

We’re not just behavioral health people—we’re crisis people.   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:

The Patient Access Specialist facilitates timely access to care by ensuring patient eligibility and 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 the Federal Marketplace insurance coverage and assists in the application process. Works with health plans to obtain coverage for uninsured patients seeking services within Connections Health Solutions (CHS). Reconciles daily visits with requested and confirmed applications. 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.
• Ensures the accuracy of patient demographic information, updating as necessary.
• Verifies 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 individuals 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.
• Updates Electronic Health Record (EHR) with pertinent information required for timely and accurate billing.