Access Specialist

🔥 15 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $24 - $28 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Stella Mental Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2020

🧘 Wellness

👥 B2C

💰 $5M Corporate Round - Stella Mental Health on 2025-06

Wellness • B2C

Stella Mental Health is a multi-location psychiatry practice specializing in evidence-based and interventional mental health care for conditions such as treatment-resistant depression, anxiety, OCD, and PTSD. The clinic offers advanced treatments including Spravato (esketamine), ketamine therapy, transcranial magnetic stimulation (TMS), stellate ganglion block (SGB), medication management, and various therapy programs (including virtual IOP), and coordinates insurance, financing, and provider referrals to support patient access and continuity of care.

📋 Description

• 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.

🎯 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