Patient Access Specialist 6

This a Philippine-based position.

ABOUT THE COMPANY

Enterprise Management Solutions, LLC (EMS) is a full-spectrum consulting and management firm specializing in back-office operations, financial infrastructure, and executive oversight for health and human services organizations. We provide strategic support to affiliated companies through contractual partnerships, optimizing operations and maintaining compliance across multiple industries including behavioral health, primary care, real estate, supportive housing, and food service.

Our goal is to relieve mission-driven companies of administrative burden by overseeing financial and operational systems that allow leadership teams to focus on quality care and innovation.

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://enterprisemanagement.org/

COMPANY PHONE NUMBER : (667) 309-5345

HR DEPARTMENT PHONE NUMBER : (667) 400-6206 EXT 10

HR DEPARTMENT EMAIL ADDRESS : hr@enterprisemgmtinc.com

POSITION TITLE : Patient Access Specialist 6

ALTERNATE TITLE(S) :

Admissions Coordinator, Intake Specialist, Access Services Associate

COMPANY : Enterprise Management Solutions, LLC

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/40 hours per week.

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 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)