Patient Access Specialist

INTEGRIS Health•Oklahoma City, OK

12d•Onsite

About The Position

Join INTEGRIS Health as an evening-shift, PRN Patient Access Specialist at INTEGRIS Health Baptist Medical Center in Oklahoma City, Oklahoma. The role supports patient access through coverage and insurance verification, authorization activity, financial counseling, payment collection, scheduling adjustments, and patient account documentation. It includes responding to inquiries from patients and other stakeholders, resolving concerns, and complying with applicable performance standards, regulations, policies, and contracts. INTEGRIS Health describes itself as Oklahoma’s largest not-for-profit health system and states that PRN work offers flexible scheduling, competitive pay, and the opportunity to make a meaningful difference.

Requirements

One year of Patient Access operations experience, 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 related college coursework 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 calculation, and authorization requirements, using available systems and assigned protocols.
Perform financial counseling, including screening for government programs and financial assistance, explaining payment options and arrangements, processing point-of-service payments, verifying demographics, obtaining required signatures, imaging documents, and following documentation standards.
Use analytical thinking, independent judgment, and clinical knowledge to adjust service-area schedules and accommodate internal and external customer requests.
Accept inbound calls from patients, physician offices, and insurance carriers, seeking to resolve concerns promptly.
Collect patient payments and follow applicable 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 and when preparing or reviewing patient accounts or 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.