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Enterprise Mangement Solutions Inc

Patient Access Specialist 5

Posted 3 hours ago
$6 - $8 per hour
2-5 years experience
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AI Summary

The Patient Access Specialist manages the intake, enrollment, and service coordination process for clients entering behavioral health programs. They are responsible for verifying insurance eligibility, maintaining accurate electronic health records, and ensuring compliance with regulatory standards.

This a Philippine-based position.


ABOUT THE COMPANY

Freedom Health Systems, Inc. is a mission-driven healthcare advisory and management consulting firm that partners with behavioral health and human services organizations to improve access, equity, and operational excellence. We specialize in guiding providers through program development, accreditation, compliance, and clinical best practices—empowering them to deliver high-quality, person-centered care to their communities.

While we do not provide direct healthcare services, Freedom Health Systems plays a vital role behind the scenes by strengthening organizational infrastructure, supporting service expansion, and helping our partners lead with innovation and integrity. Our expertise spans a wide range of operational services, including revenue cycle management, prior authorization, virtual front office support, medical billing and coding, human resources, and compliance consulting.

At Freedom Health Systems, we are deeply committed to breaking down barriers in the behavioral health space, with a particular focus on serving marginalized and underserved populations. Our team fosters a collaborative, forward-thinking work environment where every employee contributes to advancing impactful, community-based care.


DISCLOSURES

The specific statements shown in each section of this job description are not intended to be all-inclusive. They represent typical elements and criteria considered necessary to perform the job successfully. The job’s responsibilities/tasks may be modified and/or expanded over time. Company will inform the personnel member when changes in the respective job description are made.


COMPANY WEBSITE: https://freedomhs.org 


COMPANY PHONE NUMBER:  667-239-9572


HUMAN RESOURCES DEPARTMENT PHONE NUMBER:  667-239-9572 EXT 10


HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS:  info@freedomhs.org 

POSITION TITLE:
Patient Access Specialist


ALTERNATE TITLE(S): 

Admissions Coordinator, Intake Specialist, Access Services Associate


COMPANY: Freedom Health Systems, Inc. (in support of all customer companies under contract)

DIVISION: Operations

DEPARTMENT: Patient Access

UNIT: n/a

BENEFITS PACKAGE: Ineligible


WORK SCHEDULE:

PAS 5 will work a fixed/stable schedule of five (5) days per week, with the following shifts:


  • Sunday: 12:00 AM – 9:00 AM
  • Monday: 4:00 PM – 1:00 AM
  • Tuesday: 4:00 PM – 1:00 AM
  • Wednesday: Off
  • Thursday: 9:00 AM – 6:00 PM (or Off, depending on the rotation)
  • Friday: Off (or 9:00 AM – 6:00 PM, depending on the rotation)
  • Saturday: 12:00 AM – 9:00 AM



This schedule consists of five (5) working days and two (2) rest days per week, with Thursday and Friday rotating between a workday and a rest day.


ACCOUNTABLE TO:
 Patient Access Department Manager (Chief Operations Officer, in absence of Patient Access Department Manager)


ACCOUNTABLE FOR:
Managing the intake, enrollment, and service coordination process for clients entering behavioral health and care management programs; ensuring accurate data collection, regulatory compliance, and efficient communication with internal teams and external referral sources

CLASSIFICATION: Exempt – Independent Contractor (Non-U.S., W-8BEN)

COMPENSATION RANGE: $6-$8 per hour

ANTICIPATED TRAVEL: none

SUMMARY OF POSITION RESPONSIBILITIES

The Patient Access Specialist serves as the first point of contact for prospective clients entering any of Freedom Health Systems’ programs. This role is critical to ensuring timely, compassionate, and efficient intake services for outpatient behavioral health, psychiatric rehabilitation (PRP), substance use treatment, health home, and entitlements case management services.


This role involves receiving referrals, conducting intake screenings, verifying insurance or funding eligibility, coordinating appointments for initial assessments, and supporting internal transfers or discharges across contracted service lines. The Patient Access Specialist supports access to care while ensuring compliance with COMAR, HIPAA, and payer guidelines.


    Referral & Intake Processing

    • Receive and log incoming referrals from internal and external sources (e.g., providers, MCOs, hospitals, DSS, families)
    • Conduct initial outreach to referred individuals or guardians to complete intake screening
    • Collect required demographic, insurance, and consent forms prior to service start
    • Ensure intake assessments are scheduled with the appropriate clinician or provider
    • Track and follow up on pending or incomplete intake files and documentation

    Eligibility & Enrollment

    • Verify Medicaid or insurance eligibility for all referred individuals
    • Confirm program-specific criteria for service lines including PRP, OMHC, HH, SUD, and ECM
    • Coordinate with billing and credentialing staff to ensure coverage prior to service
    • Assist clients with benefits navigation or redetermination referrals when necessary

    Inter-Program Transfers & Discharges

    • Support internal transfers between programs (e.g., PRP to OMHC, HH to SUD)
    • Update internal tracking systems and electronic health records when clients are discharged or transferred
    • Notify program leads, supervisors, and administrative staff of transfers and discharges in real-time
    • Support coordination of re-engagement efforts for clients lost to follow-up

    Documentation & Compliance

    • Ensure that all intake documentation is collected, uploaded, and verified in the EHR system (e.g., ICANotes)
    • Maintain accurate logs of all referrals, admissions, discharges, and eligibility status
    • Ensure HIPAA-compliant communication and recordkeeping at all times
    • Assist with data entry and form submissions required for audits, surveys, or regulatory reviews


    UNSCHEDULED DUTIES AND RESPONSIBILITIES

    • Provide front desk coverage or phone reception support as needed
    • Assist with appointment reminder calls or patient follow-ups
    • Collaborate with clinical and administrative teams to resolve access barriers
    • Participate in quality improvement and performance tracking meetings


    PHYSICAL DEMANDS: Prolonged periods sitting at a desk and working on a computer and frequent meetings via video or phone; occasional in-person site visits

    WORK CONDITIONS

    • Remote
    • Fast-paced, deadline-driven environment with collaborative teams

    COMPETENCIES AND SKILLS

    • Working knowledge of COMAR, Medicaid, HIPAA, and behavioral health program eligibility criteria
    • Proficiency in electronic health record systems (e.g., ICANotes, Credible, or similar)
    • Strong leadership, time management, and communication skills


    LEVEL OF EDUCATION / TRAINING / QUALIFICATIONS

    Education

    • Active Registered Nurse (RN) license in good standing

    Experience

    • Minimum 3 years of experience in admissions, intake, or access management in a behavioral health or healthcare setting
    • Experience with Medicaid/MCO systems (e.g., ePREP, CRISP)
    • Experience in behavioral health or case management programs preferred
    • Associate’s Degree in Nursing or Bachelor of Science in Nursing from an accredited program (required)

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