Patient Access Specialist Sr

INTEGRIS Health•Yukon, OK

8d•Onsite

About The Position

The Patient Access Specialist Sr. provides patient access services for assigned ancillary, diagnostic, surgical, and emergency services to support efficient operations, timely reimbursement, and patient and employee satisfaction. The role serves as a liaison between INTEGRIS Health and patients, providers, and payers on pre-care matters related to account resolution. It explains coverage eligibility and benefits, financial liability, and INTEGRIS Health billing practices and policies. The specialist ensures appropriate handling of complex registration and access transactions, including scheduling, demographic verification, point-of-service payments, consent documentation, document imaging, insurance verification, eligibility, patient-portion calculations, and authorization requirements. The role uses analytical thinking and independent judgment to adjust service-area schedules and accommodate requests. It responds to patient and payer inquiries, resolves issues using available resources, documents account activity, and supports financial clearance. As a senior resource, the specialist resolves complex access and account issues, advises staff on processes, payers, and systems, provides training and feedback, and monitors assignments and productivity. The role coordinates process and quality improvement efforts, tracks goals and prepares data, communicates with departments and caregivers, and maintains compliance with performance standards, applicable regulations including EMTALA and HIPAA, organizational policies, and third-party contracts. The position is full-time, scheduled Sunday through Thursday, 7:00 a.m. to 3:00 p.m., at INTEGRIS Health Canadian Valley Hospital in Yukon, Oklahoma.

Requirements

Four years of experience in patient access operations, such as scheduling, registration, or insurance, or related experience such as billing, collections, or accounts receivable.
Previous experience in at least one of scheduling, registration, insurance, billing, collections, or customer service in a hospital or physician's office setting.

Nice To Haves

Bachelor's degree in a related field or a healthcare certification such as AAHAM CRCS, HFMA CRCR, or NAHAM CHAA.
Experience with Microsoft Office programs and admission/discharge/transfer or billing/claims management software.
Experience with medical terminology, basic ICD-10 and CPT coding, and healthcare program reimbursement and methodologies.
Experience in at least three of scheduling, registration, insurance (including Medicare, Medicaid, and third-party regulations), billing, collections, and customer service in a hospital or physician's office setting.

Responsibilities

Perform complex registration activities, including scheduling, verifying patient demographic information, processing point-of-service payments, obtaining consent signatures, imaging documents, and following documentation standards.
Perform complex patient access transactions, including checking coverage eligibility, verifying insurance, calculating patient responsibility, and determining authorization requirements.
Use analytical thinking, independent judgment, and clinical knowledge to adjust service-area schedules and accommodate internal and external customer requests.
Answer inbound calls from patients, physician offices, insurance carriers, and others to resolve concerns promptly.
Collect patient payments and follow applicable authority levels to ensure financial clearance.
Document patient-account activities, including authorization and patient-liability requirements.
Perform filing, data entry, and other assigned duties.
Respond to patient inquiries about pre-care services, policies, coverage, benefits, and financial liability.
Use available resources to resolve patient and payer inquiries and review accounts or prior authorization requirements.
Communicate payer regulations, coverage benefits, and financial liability to patients.
Resolve complex patient access and account issues, answer reimbursement questions, and serve as a resource and systems expert for patient access specialists.
Provide staff guidance, feedback, and training on processes, payers, and systems; monitor assignments and assess productivity.
Communicate effectively by telephone, email, and verbally with departments and caregivers across the health system.
Initiate and coordinate team-oriented process improvement initiatives for the department and organization.
Coordinate continuous quality improvement efforts, establish goals with supervisors, track progress, and prepare data for presentation.
Interpret and comply with performance standards, federal and state regulations including EMTALA and HIPAA, policies, procedures, guidelines, and third-party contracts.