Patient Access Specialist

INTEGRIS Health•Yukon, OK

19d•Onsite

About The Position

INTEGRIS Health is hiring a full-time Patient Access Specialist at INTEGRIS Health Canadian Valley Hospital in Yukon, Oklahoma. The role provides patient access services for assigned ancillary, diagnostic, surgical, and emergency services to support efficient operations, timely reimbursement, and patient and employee satisfaction. The specialist serves as a liaison between INTEGRIS Health and patients, providers, and payers on pre-care matters related to account resolution. They explain coverage eligibility and benefits, patient financial responsibility, and INTEGRIS Health billing practices and policies, helping patients understand their benefits and related terminology. The position involves complex access transactions, including coverage eligibility, insurance verification, patient portion calculations, and authorization requirements. It also includes financial counseling, screening for assistance programs, collecting payments, verifying demographics, obtaining required signatures, and maintaining documentation. The specialist responds to inquiries, works to resolve concerns, follows applicable policies and regulations, and complies with workplace safety requirements. The stated schedule is Monday through Friday, 9:30 a.m. to 6 p.m.

Requirements

At least 1 year of patient access operations experience, such as scheduling, registration, or insurance, or related experience in billing, collections, or accounts receivable.
Previous experience in scheduling, registration, insurance, billing, collections, or customer service in a hospital or physician's office setting.
May substitute successful completion of a related Career Tech program of 1,100 or more hours or one year of related college coursework for 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

Process complex patient access transactions, including coverage eligibility, insurance verification, patient portion calculations, and authorization requirements, using available systems and assigned protocols.
Provide financial counseling, including screening for government programs and financial assistance, explaining payment options, arranging payments, and processing point-of-service payments.
Verify patient demographic information, obtain signatures for required paperwork, complete document imaging, and follow documentation standards.
Use analytical thinking, independent judgment, and clinical knowledge to adjust service-area schedules and accommodate customer requests.
Answer inbound calls from patients, physician offices, and insurance carriers and seek to resolve concerns promptly.
Collect patient payments and follow levels of authority to ensure financial clearance.
Document patient account activity concisely, including authorization and patient liability requirements.
Respond to patient inquiries about pre-care services, policies, coverage, benefits, and financial liability.
Use available resources to resolve patient or payer inquiries and review patient accounts or prior authorization requirements.
Interpret payer regulations and explain coverage benefits and financial liability to patients.
Comply with performance standards, federal and state regulations including EMTALA and HIPAA, organizational policies and procedures, guidelines, and third-party contracts.
Follow workplace safety rules, report accidents promptly, and correct minor safety hazards.