Patient Access Specialist 6 at Enterprise Management Solutions, Inc.

About this role

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 /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: COMPANY PHONE NUMBER: (667) 309-5345 HR DEPARTMENT PHONE NUMBER: (667) 400-6206 EXT 10 HR DEPARTMENT EMAIL ADDRESS: 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 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
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)
Salary: $6-$8 per hour Originally posted on Himalayas