Patient Access Specialist

INTEGRIS Health•Oklahoma City, OK

18d•Onsite

About The Position

INTEGRIS Health is seeking a part-time Patient Access Specialist for the day shift at INTEGRIS Health Baptist Medical Center in Oklahoma City, Oklahoma. The role supports patient access by handling coverage and insurance verification, authorizations, scheduling adjustments, patient financial counseling, payments, account documentation, and inquiries from patients and other parties. The specialist uses available systems and resources to resolve access and financial concerns according to assigned protocols, while complying with applicable regulations, policies, procedures, guidelines, and third-party contracts.

Requirements

One year of Patient Access operations activities, such as scheduling, registration, or insurance, or related experience such as billing, collections, or accounts receivable.
Previous experience in scheduling, registration, insurance, billing, collections, or customer service in a hospital or physician's office setting.
Successful completion of a related Career Tech program of 1,100 or more hours, or one year of college coursework in a related field, may be considered in lieu of experience.

Nice To Haves

College coursework in a related field or a healthcare certification such as AAHAM CRCS, HFMA CRCR, or NAHAM CHAA.
Previous experience with medical terminology and basic ICD-10 and CPT coding.

Responsibilities

Ensure appropriate handling of complex patient access transactions, including coverage eligibility, insurance verification, patient portion calculations, and authorization requirements.
Provide financial counseling, including screening for government programs and financial assistance, explaining payment options, arranging payments, processing point-of-service payments, verifying demographic information, obtaining required signatures, imaging documents, and following documentation standards.
Use analytical thinking, independent judgment, and clinical knowledge to adjust service area schedules and accommodate special requests from internal and external customers.
Accept inbound calls from patients, physician offices, insurance carriers, and others, with the intent to resolve concerns promptly.
Collect patient payments and follow levels of authority to ensure financial clearance.
Document patient account activities concisely, including authorization and patient liability requirements.
Perform filing, data entry, and other assigned duties.
Respond promptly to patient inquiries about pre-care services, policies, coverage, benefits, and financial liability.
Use multiple resources to resolve patient or payor inquiries while on calls or while preparing or reviewing patient accounts and prior authorization requirements.
Understand payer regulations and communicate coverage benefits and financial liability effectively to patients.
Participate in team-oriented process improvement initiatives for the department and organization.
Participate in continuous quality improvement efforts, establish goals with supervisors, and track progress.
Interpret and comply with performance standards, federal and state regulations including EMTALA and HIPAA, policies, procedures, guidelines, and third-party contracts.