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Stella Mental Health

Measuring success by lives changed.

Access Specialist

GeneralGeneralFull TimeRemoteMid LevelTeam 51-200Since 2020H1B No SponsorCompany SiteLinkedIn

Location

California

Posted

4 days ago

Salary

$24 - $28 / hour

Seniority

Mid Level

High School2 yrs expEnglish

Job Description

Access Specialist

Stella Mental Health

• Complete comprehensive Verification of Benefits, ensuring patients and internal teams have clear, accurate financial and coverage information. • Initiate and manage Prior Authorizations for interventional services, ensuring timely submission and thorough follow-through. • Proactively track authorization status and communicate updates to internal stakeholders. • Challenge denials by initiating appeals, coordinating peer-to-peer reviews, and identifying alternative pathways to access care. • Ensure patients experience minimal delays in starting treatment through persistent, proactive follow-up. • Own end-to-end VOB and PA workflows, from intake to resolution, within defined turnaround times. • Utilize internal systems including EMR (Athena/DrChrono), Salesforce, payer portals, and AI tools to complete and track work efficiently. • Maintain accurate, up-to-date documentation across all systems to support visibility and reporting. • Collaborate closely with Patient Care Coordinators, Treatment Coordinators, and clinic teams to ensure seamless patient access. • Partner with Payor Relations and Clinical teams to escalate denials and resolve complex cases. • Identify trends in denials, payer behavior, and workflow inefficiencies and escalate opportunities for improvement. • Contribute to the development and refinement of standardized workflows, playbooks, and best practices.

Job Requirements

  • Experience in healthcare insurance workflows, including VOB and prior authorizations- minimum 2 years of experience
  • Highly detail-oriented with strong organizational and follow-through skills.
  • Persistent and solutions-oriented mindset- denials are challenges to be resolved, not endpoints.
  • Comfortable navigating payer portals, insurance policies, and complex coverage scenarios.
  • Strong written and verbal communication skills; ability to clearly document and relay information across teams.
  • Technically proficient and adaptable, with experience using EMRs, CRMs (Salesforce), and digital tools.

Benefits

  • Health insurance
  • Flexible work arrangements
  • Professional development opportunities

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