Patient Access Specialist

INTEGRIS Health•Yukon, OK

10d•Onsite

About The Position

Join our team as a variable shift, PRN, Patient Access Specialist at INTEGRIS Health Canadian Valley Hospital in Yukon, OK. Working PRN at INTEGRIS Health offers flexible scheduling, competitive pay and the chance to make a meaningful difference in the lives of those we serve. Join us in our mission to partner with people to live healthier lives.

Requirements

1 year of Patient Access operations activities (scheduling/registration/insurance) or related experience (billing, collections, accounts receivables)
Previous experience in one of the following: scheduling, registration, insurance, billing, collections, and customer service in either a hospital or physician's office setting
May consider successful completion of 1100+ related Career Tech program or one year of college coursework in a related field in lieu of experience

Nice To Haves

College coursework in related field or Healthcare Certification (AAHAM CRCS, HFMA CRCR, NAHAM CHAA) preferred
Previous experience with medical terminology, basic ICD 10 and CPT coding preferred

Responsibilities

Ensures the appropriateness of complex patient access transactions including coverage eligibility, insurance verification, patient portion calculation and authorization requirement activity utilizing available systems and resources according to assigned protocol
Performs financial counseling activity including screening for government programs and financial assistance, payment options and arrangements, processing point of service payments, verifying patient demographic information, obtaining signatures for required paperwork, document imaging and following documentation standards to facilitate efficient patient access according to assigned protocol
Accepts inbound phone calls from patients, physician offices, insurance carriers, etc. with the intent to resolve the concern immediately.
Collects patient payments and follows levels of authority to ensure financial clearance
Documents all patient account activities concisely, including authorization and patient liability requirements
Responds promptly to patient inquiries regarding pre-care services, policies, coverage, benefits and financial liability
Utilizes multiple resources to resolve patient or payor inquiries while on the phone or preparing/reviewing patient accounts or prior authorization requirements
Understands different payer regulations and can communicate effectively with patients regarding their coverage benefits and financial liability
Interprets and maintains compliance with performance standards, federal and state regulations including EMTALA and HIPAA, policies, procedures, guidelines, and third-party contracts
Follows all safety rules while on the job, reports accidents promptly and corrects minor safety hazards