access specialist

Rush University Medical Center

<div>Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: Access Center Specialty Care
Work Type: Part Time (Total FTE between 0.5 and 0.89)
Shift: Shift 1
Work Schedule: 4 Hr (11:00:00 AM - 3:00:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
Pay Range: $18.87 - $29.73 per hour
 
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush&rsquo;s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
 
The RUSH Access Center Specialist I manages all clinical and non-clinical calls and performs clinic activities including routine and advanced scheduling, basic triage, message taking, and referral management. The RUSH Access Center Specialist I collaborates with Access Center team members and practice staff to meet overall access, revenue cycle and scheduling objectives while exceeding customers&rsquo; expectations. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.
Other information:
 
High School Diploma required.
 
 
Bachelor&rsquo;s degree or equivalent work experience in patient care or related setting such as clinic, ambulatory care center, medical call center, or physician office strongly preferred.
 
 
Bilingual skills a plus.
 
 
Certified Healthcare Access Associate (CHAA) preferred.
 
Skills: Excellent communication and outstanding customer service and listening skills required. Critical thinking, sound judgment and strong problem-solving skills essential. Must be team-oriented, open minded, flexible, and willing to learn. Strong attention to detail and accuracy required. Need the ability to type 40 WPM and process basic Microsoft Office, Outlook and Word experience.
 
Abilities: Ability to prioritize and function effectively, efficiently and accurately in a multi-tasking, complex, fast paced and challenging call center environment. Ability to act responsibly and quickly with sound judgement when problem solving. Ability to utilize Epic Cadence efficiently. Employees hired into this role must successfully pass the Epic scheduling test. Ability to listen to patients and process needs while simultaneously documenting in Epic.
 
 
Disclaimer:
 
The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.
 
 
Date Reviewed:
 
Date Revised: 
 
Responsibilities:
 
1. Answers all telephone calls within your work assignment as designated by your leadership with the goals of accurately scheduling patients as determined by departmental and Epic guidelines.
 
2. Evaluates non-scheduling related patient inquiries including clinical related calls; routes and escalates all inquiries following departmental and epic clinical guidelines inclusive of warm transfers to RN triage and/or to clinics.
 
3. Assesses the caller&rsquo;s need and responds with critical judgment and ensures the appropriate resolution for the inquiry or issue. Understands when to escalate calls to nurse, and/or RUSH Access Center leadership.
 
4. Responsible for leveraging Salesforce and Genesys platforms to optimize patient interactions and workflow efficiency. Ensures accurate documentation, routing, and resolution of patient inquiries through integrated systems.
 
5. Proactively monitor areas of concern or uncertainty relating to the practices and suggest possible resolutions around access Epic build issues.
 
6. Exhibits strong understanding of specialized RUSH Access Center processes including but not limited to questionnaires, subgroups, auto search, pre-registration, message templates, radiology workflows, and referral capture and insurance plan networks.
 
7. Adheres to service specialized workflows for multiple specialty departments. Follows protocols built in Epic and documented practices scheduling requirements.
 
8. Responsible for accurately documenting appointment information and notifying the patient of information critical to their visit.
 
9. Drives and supports the RUSH revenue cycle by minimizing potential financial risk of patient accounts through patient insurance registration activities. This includes but is not limited to discussing the patient&rsquo;s financial responsibility for their upcoming visit, outstanding balances, and referral requirements based on Rush contracts.
 
10. Effectively completes point of service collections over the phone using secure payment processing systems via multiple payment options, such as credit/debit cards and/or payment plans.
 
11. Maintains a high level of understanding and acts as a patient resource for physician and ancillary service offerings, navigating the Rush campus, payment categories, and the billing procedures of Rush University.
 
12. Exhibits sensitivity to patient health information and protects confidentiality. Always maintains privacy for patient and employee information.
 
13. Enhances the reputation of the RUSH Access Center by fostering ownership and personal responsibility for exceeding patient service expectations through accountability for actions and decisions setting a positive example to peers, coworkers, departments and patients.
 
14. Promotes a positive and productive environment, supporting teamwork and communication.
 
15. Works cooperatively in a team environment and supports a flexible structure to ensure the success of the RUSH Access Center.
 
16. Utilizes customer service skills to exceed the patient&rsquo;s needs.
 
17. Performs other duties as assigned. 
 
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.</div>

Access Specialist 1

Medplus Solutions

<div><h2 class="jobSectionHeader">Description:</h2>
Unlock Your Potential: Join our amazing Pharmacy Team and Make an Impact in Healthcare! 
EARN $2,000 REFERRAL BONUS + Competitive Salary | Medplus Solutions | San Juan Metro Area | Part-Time
At Medplus Solutions, we are seeking a Product Access Specialist to provide direct support to our Commercial Excellence Team.
Why this role is different:
Most specialty pharmacy jobs put you behind a desk filling prior authorizations all day. This role puts you in the field &mdash; building relationships with physician offices, educating healthcare providers, and making a real impact on patient access to life-changing rare disease therapy.
You're not just processing paperwork. You're removing barriers that stand between patients and their treatment.
What You&rsquo;ll Do:
As our Product Access Specialist, you'll be the bridge between patients, physicians, and payers &mdash; ensuring patients get their therapy fast, with zero hassle.
Your Day-to-Day:<ul>
<li>
Field Visits to Physician Offices &mdash; Be the face of Medplus. Educate HCPs on access pathways, reimbursement processes, and documentation requirements to reduce admin burden.</li>
<li>Patient Navigation &amp; Advocacy &mdash; Guide patients through insurance coverage, prior authorizations, copay assistance programs, and financial aid. You're their champion.</li>
<li>Prior Authorization Management &mdash; Own cases end-to-end from enrollment to dispensation. Coordinate with payers, gather documentation, and resolve barriers in real-time.</li>
<li>Bridge &amp; Patient Assistance Programs &mdash; Manage transitions from temporary access (Quick Start/Bridge) to long-term commercial or Medicaid coverage.</li>
<li>Collaborate Across Teams &mdash; Work closely with our pharmacy operations, sales, and clinical teams to optimize patient flow and access speed.</li>
<li>Track &amp; Report KPIs &mdash; Monitor conversion rates, time-to-therapy, and access barriers. Identify trends and recommend process improvements.</li>
<li>
</li></ul><h2 class="jobSectionHeader">Requirements:</h2>
WHO YOU ARE
You're a problem-solver who thrives in fast-paced environments. You're comfortable talking to physicians, insurance reps, and patients &mdash; switching between clinical, administrative, and empathetic modes seamlessly.
Must-Haves:<ul>
<li>
2-3 years of experience in customer service, sales, case management, or healthcare coordination</li>
<li>Bachelor's degree in health or pharmacy Technician certification (either works!)</li>
<li>Bilingual English + Spanish (intermediate level minimum)</li>
<li>Comfortable with field visits to medical offices (not 100% remote)</li>
<li>Strong Microsoft Office skills (Excel, Outlook, Teams)</li>
<li>Valid driver's license and reliable transportation</li>
</ul>
Nice-to-Haves:<ul>
<li>
Experience in specialty pharmacy, patient access, hub services, or prior authorizations</li>
<li>Familiarity with limited distribution drugs (LDDs) or rare disease therapies</li>
<li>Knowledge of Puerto Rico health plans</li>
</ul>
Interested?
Don't wait! Send us your resume and join the automation revolution at Medplus Solutions.
We look forward to hearing from you!
EEOC</div>

Product Access Specialist

Ensemble Health Partners

<div>Thank you for considering a career at Ensemble!
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:<ul><li>
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.</li><li>
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.</li><li>
Striving for Excellence: Execute at a high level by demonstrating our &ldquo;Best in KLAS&rdquo; Ensemble Difference Principles and consistently delivering outstanding results.</li></ul>
The Opportunity:
CAREER OPPORTUNITY OFFERING:<ul><li>
Bonus Incentives</li><li>
Paid Certifications</li><li>
Tuition Reimbursement</li><li>
Comprehensive Benefits</li><li>
Career Advancement</li><li>
This position pays between $18.65 - $19.90/hr based on experience</li></ul>
***This position is an onsite role, and candidates must be able to work on-site at Bon Secours - Harbour View Medical Center in Suffolk, VA****
The Senior Patient Access Specialist is responsible for performing admitting duties for all patients receiving services at Ensemble Health Partners. Additional duties can include training, scheduling, and other senior-level responsibilities. They are responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements. The Senior Patient Access Specialist will work within the policies and processes that are being performed across the entire organization.
Essential Job Functions:<ul><li>
Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity or compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician order while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey. They will serve as the SMART for the department. They are to adhere to Ensemble Health Partners policies and provide excellent customer service in these interactions with the appropriate level of compassion. Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.</li><li>
Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities.</li><li>
A Senior Patient Access Specialist is responsible for the development of training materials and programs for new hires to the department, as well as providing continuing education to associates in all areas of the revenue cycle.</li><li>
A Senior Patient Access Specialist is responsible for the development of staff schedules within the patient access department.</li><li>
A Senior Patient Access Specialist will have on-call responsibilities for the department, including providing after-hours support and guidance. As part of on-call responsibilities, the Senior Patient Access Specialist may be responsible for working unscheduled times to cover staffing issues.</li><li>
Senior Patient Access Specialist are responsible for the collection of point of service payments. These activities may be conducted in emergency, outpatient, and inpatient situations including past due balances and offering payment plan options The Patient Access Specialist is expected to adhere to Ensemble Health Partners policies and provide excellent customer service in these interactions. Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access Leadership. Senior Patient Access Specialists will be held accountable for point of service goals as assigned.</li><li>
Explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witness&rsquo;s name. Explains and distributes patient education documents, such as Important Message from Medicare, Observation Forms, Consent forms, and all forms implemented for future services.</li><li>
Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate including pre-registration of patient accounts prior to the patient visit which may include inbound and outbound calls to obtain demographic information, insurance information, and all other patient information.</li><li>
Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.</li><li>
Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.</li></ul>
Job Experience:<ul><li>
1 to 3 Years</li><li>
Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.</li></ul>
Education Level:<ul><li>
Associate degree or Equivalent Experience</li></ul>
Other Preferred Knowledge, Skills, and Abilities:<ul><li>
Understanding of Revenue Cycle including admission, billing, payments, and denials.</li><li>
Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.</li><li>
Knowledge of Health Insurance requirements. Knowledge of medical terminology or CPT or procedure codes</li></ul>
Join an award-winning company
Five-time winner of &ldquo;Best in KLAS&rdquo; 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024<ul><li>
Innovation</li><li>
Work-Life Flexibility</li><li>
Leadership</li><li>
Purpose + Values</li></ul>
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:<ul><li>
Associate Benefits &ndash; We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.</li><li>
Our Culture &ndash; Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
</li><li>Growth &ndash; We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.</li><li>
Recognition &ndash; We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.</li></ul>
Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role&rsquo;s range.
Employment Disclaimers &ndash; Ensemble</div>

Senior Patient Access Specialist

Catholic Community Services and Catholic Housing Services of Western Washington

<div>Overview:
<div>
CLINICAL ACCESS SPECIALIST OPPORTUNITY</div><div>
TUKWILA, WA</div><div></div><div> 
CCSWW FAMILY BEHAVIORAL HEALTH TEAM AWARDED BY WSU &quot;EMPLOYER OF THE YEAR&quot;</div><div> 
OUR CLINICAL TEAMS WORK IN THE HOMES OF FAMILIES AND IN THE COMMUNITY; PLUS, IN AN OFFICE SITE</div><div></div><div> 
Catholic Community Services, Family Behavioral Health is looking for a Clinical Access Specialist Clinician who wants to join our team of innovators who continually &quot;push the envelope&quot; and challenges traditional thinking in Behavioral Health.</div><div></div><div> 
WHO ARE WE:</div><div>
We are a values-driven organization, providing family oriented mental health care for children, youth and families in their own home and community. Our enthusiastic clinical teams provide whatever is needed to help children and youth remain safely in their own home with their family, restoring hope, providing intense mental health services and supports, and helping to strengthen the family unity. With sites located in Tukwila, Tacoma, Olympia, Shelton, Bremerton, Aberdeen, Yelm, Vancouver, and Portland Oregon, we offer comprehensive intensive, Wrap-around mental health services to a diverse population for youth and families. We employ nearly 800 caring and compassionate employees.</div><div></div> 
WHAT WE VALUE: 
Compassion Diversity Strength-Based-Approach Social-Justice &amp; Our Staff!<div>
WHAT WE OFFER:</div><ul><li>
Starting Pay Range: $35.58 - 39.35 per hour</li><li>
Collaborative Supervision</li></ul><div>
 BENEFITS:
</div><ul><li>12 paid holidays; plus 1 personal holiday each year</li><li>
3 weeks' vacation (to start)
</li><li>12 sick-days per year</li><li>
Medical</li><li>
Dental</li><li>
Vision Insurance</li><li>
Life Insurance (1 times annual salary)</li><li>
Retirement Plans: 403-B Employee Savings Plan and an Employer Contribution Pension
</li></ul>Training and Supervision:<ul><li>
Extensive training in multiple clinical approaches as well as trainings in related areas
</li><li>Weekly supervision with your Clinical Supervisor
</li><li>Daily supervision and support, as needed</li><li>
Immediate assistance and clinical supervision/consultation available at any time</li></ul><div>
We strive to help children and families live together safely and securely with hope and promise. We serve as a catalyst for change when appropriate, challenging long-standing service traditions in community behavioral health. We behave with Humility, Passion for our Mission, and Compassion and Respectful Interactions. We value learning and offer alternatives and we stand strong to help child-serving systems understand our alternative paradigm while strengthening partnerships. We do not compromise our values.</div><div></div><div> 
This position is the first clinical contact for children, youth and families seeking referral and access to intensive level behavioral health services. The Clinical Access Specialist is responsible for determining eligibility and facilitating access to behavioral health services by using clinical and diagnostic assessment tools to gather child and family medical and behavioral health information, complete initial clinical assessment tool i.e. Child Adolescent Needs and Strengths and verify and determine eligibility for intensive behavioral health treatment services. The Clinical Access Specialist will continue to engage with the family, providing support and referrals as needed throughout the clinical assignment process. The Clinical Access Specialist will track all referrals, utilization and response timeframes and enter data into an Electronic Health record as appropriate.</div><div> 
</div><div>This position will be based out of FBH Tukwila, WA office. This position requires scheduling flexibility to meet the needs of youth and families served. The services we offer will be provided in community-based settings and in family homes. Work is performed under the supervision of the Clinical Supervisor or Clinical Manager.
</div>Responsibilities:
<div>
Clinical</div><ul><li>
Utilize Clinical assessment and engagement skills to meet with child, youth and family in the home, hospital or other community settings to gather demographic, clinical/situation information and assess for service need and intensity.</li><li>
Complete behavioral health clinical assessment tools including the CANS Assessment.</li><li>
Demonstrate familiarity with DSM criteria for clinical mental health diagnoses and formulate a clinical diagnosis based on client background and presenting behavioral health issues and concerns.</li><li>
Engage the child and family during the referral session, assessing for immediate safety needs and concerns and ensuring clinical support for the safety of the child throughout the referral determination process.</li><li>
Gather information from medical, behavioral health and other community providers for children/youth referred to support assessment for and access to services.</li><li>
Using an Electronic Health Record, Provider One, verify Medicaid eligibility for services.</li><li>
For referrals meeting access to care criteria, assess acuity level for response and coordinate referral assignment with identified clinical manager/supervisor.</li><li>
Communicate referral dispositions to Medicaid and BHO funders and obtain pre-authorization for those meeting service criteria. For those referrals not meeting criteria, report disposition information to funder in monthly reports.</li><li>
For referrals not meeting criteria for services, assist referent in resolving presenting concern, e.g. makes referrals to community resources, utilizing motivational interviewing and solution focused principles to resolve issue(s).</li></ul><div>
Manage access to services</div><ul><li>
Support and facilitate referral access in the community: represent Family Behavioral Health Services in the community by community outreach and collaboration. Develop and maintain strong and active relationships with funders, Behavioral health and Medical providers, Children&rsquo;s Administration, Juvenile Justice, community organizations, and other referral sources.</li><li>
Maintain on-going clinical contact with children/youth meeting access criteria for services pending clinical assignment, ensure appropriate and timely coordination, collaboration and support for behavioral health supports.</li><li>
Maintain contact with referents (community medical and behavioral health professionals) so that if youth is not immediately assigned, they are informed of the clinical intake process and authorization and approval for services. .</li><li>
Demonstrate flexibility and organization to respond to urgent referral requests in the home and community as needed, including flexibility to meet family and community needs after 5pm and on weekends.
</li><li>Maintain knowledge of community behavioral health and other support services to ensure all referents are linked to helping resources in their local communities from service referral to eligibility determination and disposition.</li><li>
Complete clinical assessment/referral documentation as required by funders and Medicaid, tracking client enrollment and referral documentation in clinical dashboard as needed for system wide behavioral health outcome reports.</li></ul><div>
Utilization tracking</div><ul><li>
Track and record Verification of Medicaid eligibility for all children/youth referred.</li><li>
Maintain tracking list of process steps for completion of required referral and intake activities, such as clinical assessment completion, referral dispositions, schedule and completed behavioral health intakes, initial treatment planning sessions with families, Medicaid authorizations and re-authorizations.</li></ul><div>
Quality Improvement</div><ul><li>
Participate in audit preparation and review of clinical records to ensure content, format, timeliness and quality standards of referral and initial documentation are Medicaid compliant for all children and youth.
</li></ul><div>HIPAA:</div><ul><li>
Responsible for upholding a culture of privacy and security in highly confidential work environment(HIPAA covered entity service area).</li><li>
Complies with all CCSWW policies and procedures that involve access to and safe guarding of client Protected Health Information (all forms).</li></ul>
Qualifications:
<div>
WHAT WE ARE SEEKING IN A CANDIDATE:</div><ul><li>
Bachelor&rsquo;s degree in social work, psychology, behavioral sciences or equivalent field.</li><li>
2 or more years of clinical experience working with children and families including knowledge of behavioral health and child welfare service systems.</li><li>
Clinical knowledge of DSM diagnostic and clinical criteria.
</li><li>Demonstrated clinical engagement skills which may include Motivational Interviewing or Collaborative Problem Solving.</li><li>
Eligibility for Agency Affiliated License and application within one month of employment</li><li>
Computer proficiency in Excel and Word and knowledge of Behavioral Health (EHR) electronic health record systems.</li><li>
Certification and competency in clinical assessment process including eligibility for certification in the CANS-Child/Adolescent Needs/Strengths Assessment, CALOCUS and knowledge in functional family clinical assessments.</li><li>
Energetic, innovative style with the ability to engage children, youth and family members in services.</li><li>
Enthusiastic and optimistic approach, encouraging ongoing participation of all involved.</li><li>
Natural ability to work with others through a genuine strengths-based approach, appreciating unique qualities and assets of all involved.</li><li>
Ability to work both independently and as a member of a team.</li><li>
Ability to meet with clients and colleagues in homes and community locations.</li><li>
Demonstrated strength in community capacity building and collaboration.</li><li>
Ability to prioritize and effectively handle competing demands.</li><li><div>
Applicant must successfully pass required background clearances prior to an offer of employment.</div></li><li>
Valid driver&rsquo;s license &amp; current automobile insurance, reliable transportation with an acceptable driving record per CCS policy.</li><li>
Support and uphold the mission, beliefs and values of Catholic Community Services and Catholic Housing Services.</li></ul><div>
Preferred Qualifications</div><ul><li>
Ability to engage children and families in crisis and in a variety of settings and circumstances.</li><li>
Excellent oral and written communication skills.</li><li>
Highly organized and a self-starter.</li><li>
Demonstrated ability to work in the context of a team.</li><li>
Computer proficiency in Psych Consult.</li><li>
Training and experience in CANS Assessment.</li></ul><div>
Internal applicants, please visit the HR Portal to apply with your updated resume, letter of interest, and to answr a few questions. For additional questions, contact Karla Lacktorin, Regional Healthcare Recruiter, at karlal@ccsww.org .</div>
Catholic Community Services and Catholic Housing Services is an Equal Opportunity Employer. Please let us know if you need special accommodations to apply or interview for this position.</div>

FBH Clinical Access Specialist

UCHealth

<div>Location: UCHealth Admin, Aurora, CO 
 
Work Schedule: Full Time, 80.00 hours per pay period (2 weeks)
 
 
Shift: Days
 
 
Pay: $23.49 - $30.53 / hour. Pay is dependent on applicant's relevant experience 
 
This position is an onsite role and does not offer a hybrid or remote option 
 
Summary: 
 
Responsible for providing access to medications for patients by completing Prior Authorization Requests (PAR), Co-pay Assistance Programs, Medication Assistance Programs, benefits investigation, processing refill renewal requests, assisting patients with health insurance enrollment, managing PAR and prescriptions renewal dates. 
 
Responsibilities: 
<ul><li>
Coordinates with third-party insurance, clinical staff, and patients to effectively process prior authorization requests for medications within the prescribed timelines.
</li><li>Compiles clinical documentation for prior authorizations (ex: progress notes, labs, diagnoses codes, previously tried therapies, ASO criteria, doctor visits). Compiles clinical information for pharmacist and nurses to utilize as refill renewal requests are processed via protocol.
</li><li>Directly enrolls eligible patients into manufacturer patient assistance and co-pay programs. Provides information to patients on health care insurance coverage opportunities available through the Health Care Exchanges.
</li><li>Accurately obtains and records patients' home medication lists, allergies, immunizations and medical diagnoses.</li><li>
Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.</li></ul> 

Requirements: 
High School diploma or GED. 
<ul><li>
</li><li> 
 
PHAT (Pharmacy Technician) certification from State Board of Pharmacy.</li><li>
Pharmacy Technician Certification (CPhT) by Pharmacy Technician Certification Board (PTCB).</li><li>
2 years of Pharmacy Technician experience or 1 year of experience performing prior authorizations or refill renewals.</li></ul> 
Employees are our number one asset. 
 
UCHealth promotes a culture that invests in professional success and personal well-being through a comprehensive total rewards program. * 
 
Recognition 
<ul><li>
Performance bonus: UCHealth offers a 3-Year Incentive Bonus to recognize employee contributions to our success in quality, patient experience, organizational growth, financial goals and tenure. The bonus accumulates annually each October and is paid out in October during the third year of employment.</li><li>
Performance-based pay increase: The Annual Merit Pay Increase recognizes work performance that meets or consistently exceeds performance standards documented through UCHealth's established evaluation process and accounts for increased experience, skills and cost of living.
</li><li>Market reviews: All UCHealth positions are reviewed annually to ensure UCHealth base pay aligns with market standards. Base pay rates are adjusted as needed to stay market competitive.
</li></ul> 
Health and well-being 
<ul><li>
Medical, dental and vision coverage.</li><li>
Access to 24/7 mental health and well-being support for employees and dependents.</li><li>
Discounted gym memberships and fitness resources.</li><li>
Free Care.com membership.</li><li>
Voluntary benefits such as accident insurance, critical illness insurance, group legal plan, identity theft protection, pet insurance, auto and home insurance, and employee discount programs.</li><li>
Time away from work: Paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence.</li><li>
Employer-provided basic life and accidental death and dismemberment coverage with buy-up coverage options.</li><li>
Employer-provided short-term disability and long-term disability with a buy-up coverage option.</li></ul> 
Retirement and savings 
<ul><li>
403(b) plan with employer matching contribution.</li><li>
Additional 457(b) plan may be available.</li><li>
Flexible spending accounts for health care and dependent day care; health savings account available when enrolled in high-deductible (HD) medical plan.</li></ul> 
Education and career growth 
<ul><li>
UCHealth provides access to academic degrees and certificate programs to promote professional and personal growth.</li><li><ul><li>
Up to 100% of tuition, books and fees paid for by UCHealth for specific educational degrees.
</li><li>Other programs may qualify for up to $10,000/year pre-paid by UCHealth or up to $5,250/year in the form of tuition reimbursement.
</li></ul></li><li>Access to LinkedIn Learning, which offers thousands of virtual courses and seminars, and internal professional development opportunities.
</li><li>Employees have access to free assistance navigating the Public Service Loan Forgiveness program and submitting their federal student loans for forgiveness.</li></ul> 
<ul><li>Eligibility for some programs is based on an employee's scheduled work hours.
</li></ul> 
We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives.
 
 
UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified. 
 
UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when the do not impose an undue hardship on the organization. 
 
Who We Are (uchealth.org)</div>

Medication Access Specialist

INTEGRIS Health

<div>INTEGRIS Health, Oklahoma&rsquo;s largest not-for-profit health system has a great opportunity for a Patient Access Specialist in Woodward, OK. In this position, you&rsquo;ll work Full Time Days 5:30am-5:30pm with our Patient Registration team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and paid family leave. We invite you to join us as we strive to be The Most Trusted Partner for Health. 
The Patient Access Specialist is responsible for the provision of patient access activity for ancillary, diagnostic, surgical and emergency services as assigned to facilitate efficient operations, expeditious reimbursement and optimal customer satisfaction and employee satisfaction. Acts as a liaison between INTEGRIS and patients, providers, and payers for all pre-care matters related to account resolution. Provides information regarding the patients coverage eligibility and benefits, patients financial liability, INTEGRIS Health's billing practices and policies. Assists patients in understanding coverage benefits and coverage terminology.
INTEGRIS is an Equal Opportunity/Affirmative Action Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.
The Patient Access Specialist responsibilities include, but are not limited to, the following:
<ul><li>Ensures the appropriateness of complex patient access transactions including coverage eligibility, insurance verification, patient portion calculation and authorization requirement activity utilizing available systems and resources according to assigned protocol</li>
<li>Performs financial counseling activity including screening for government programs and financial assistance, payment options and arrangements, processing point of service payments, verifying patient demographic information, obtaining signatures for required paperwork, document imaging and following documentation standards to facilitate efficient patient access according to assigned protocol</li>
<li>Possesses the ability to use analytical thinking, independent judgment, and clinical knowledge to adjust service area schedules and accommodate special requests from internal and external customers</li>
<li>Accepts inbound phone calls from patients, physician offices, insurance carriers, etc. with the intent to resolve the concern immediately.</li>
<li>Collects patient payments and follows levels of authority to ensure financial clearance</li>
<li>Documents all patient account activities concisely, including authorization and patient liability requirements</li>
<li>Performs filing, data entry, and other duties as assigned.</li>
<li>Responds promptly to patient inquiries regarding pre-care services, policies, coverage, benefits and financial liability * Utilizes multiple resources to resolve patient or payor inquiries while on the phone or preparing/reviewing patient accounts or prior authorization requirements</li>
<li>Understands different payer regulations and can communicate effectively with patients regarding their coverage benefits and financial liability</li>
<li>Participates in team-oriented process improvement initiatives for the department and organization</li>
<li>Participates in continuous quality improvement efforts, establishes goals with supervisors and tracks progress</li>
<li>Interprets and maintains compliance with performance standards, federal and state regulations including EMTALA and HIPAA, policies, procedures, guidelines, and third-party contracts</li>
<li>Follows all safety rules while on the job, reports accidents promptly and corrects minor safety hazards</li>
</ul>
Reports to assigned supervisor.
This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information. Potential for exposure to infections and communicable diseases, blood and body fluids, electrical equipment, chemicals. Must follow standard precautions.
All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.
<ul>
<li>1 year of Patient Access operations activities (scheduling/registration/insurance) or related experience (billing, collections, accounts receivables)</li>
<li>Previous experience in one of the following: scheduling, registration, insurance, billing, collections, and customer service in either a hospital or physician's office setting</li>
<li>May consider successful completion of 1100+ related Career Tech program or one year of college coursework in a related field in lieu of experience</li>
<li>College coursework in related field or Healthcare Certification (AAHAM CRCS, HFMA CRCR, NAHAM CHAA) preferred</li>
<li>Previous experience should include utilizing standard office equipment and PC software</li>
<li>Previous experience with medical terminology, basic ICD 10 and CPT coding preferred</li>
<li>Must be able to communicate effectively with others in English (verbal/written)</li></ul></div>

Patient Access Specialist - Days - Woodward

Naven Health, Inc

<div>Extraordinary Careers. Endless Possibilities.
With the nation&rsquo;s largest home infusion provider, there is no limit to the growth of your career.
 Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members.
Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you&rsquo;re empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.
Job Description Summary:
The Patient Access Specialist supports patients referred to Option Care Health to receive Specialty Infusion Services by coordinating referrals, intake documentation, and cross-functional communication to ensure a seamless transition into care.
 
 
This role partners closely with referral sources, sales, pharmacy, nursing, and internal teams to support timely access to therapy while delivering a consistent, high-quality experience for patients and referral partners.
Job Description:
Job Responsibilities<ul><li>
Engages with patient, referral source, sales, pharmacy, and nursing to coordinate discharge and secure nursing and delivery.</li><li>
Creates, communicates and obtains all required documentation for new referrals.</li><li>
Secures patient&rsquo;s upfront payment including assisting patients to find avenues for payment where needed (identifies opportunities and directs patient to financial assistance program).</li><li>
Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where missing).</li><li>
Assist Supervisor and Manager with special assignments as needed.</li></ul>
Supervisory Responsibilities
Does this position have supervisory responsibilities? NO
(i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.)
Basic Education and/or Experience Requirements
High school diploma or equivalent is required.
Minimum of two years of experience in related experience required.
Basic Qualifications
Ability to multi-task and support numerous referrals/priorities at one time.
Ability to work in a fast past environment.
Must be detail-oriented and have a high degree of quality focus.
High degree of customer service skills required.
Ability to trouble shoot, problem solves and collaborate with cross-functional team members across sales and operation functions.
Travel Requirements
N/A
Preferred Qualification &amp; Interests
Previous healthcare/medical billing experience preferred.
May perform other duties as assigned
Due to state pay transparency laws, the full range for the position is below:
Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.
Pay Range is $22.55-$32.63
Benefits:<ul><li>Medical, Dental, &amp; Vision Insurance</li><li>Paid Time off</li><li>Bonding Time Off</li><li>401K Retirement Savings Plan with Company Match</li><li>HSA Company Match</li><li>Flexible Spending Accounts</li><li>Tuition Reimbursement</li><li>myFlexPay</li><li>Family Support</li><li>Mental Health Services</li><li>Company Paid Life Insurance</li><li>Award/Recognition Programs</li></ul>
Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.</div>

Patient Access Specialist - California REMOTE

Search 10000+ Access specialist jobs near you this May. New roles added regularly across leading industries. Apply today.