Patient Access Specialist

INTEGRIS Health•Oklahoma City, OK

6d•Onsite

About The Position

Join INTEGRIS Health as a full-time, day-shift Patient Access Specialist at INTEGRIS Health Southwest Medical Center ED in Oklahoma City, Oklahoma. The schedule is Thursday through Saturday, 11 a.m. to 11 p.m. The Patient Access Specialist provides patient access services for assigned ancillary, diagnostic, surgical, and emergency services to support efficient operations, timely reimbursement, and customer and employee satisfaction. The role serves as a liaison between INTEGRIS Health and patients, providers, and payers for pre-care account resolution. It provides information about coverage eligibility and benefits, patient financial liability, and INTEGRIS Health billing practices and policies, and helps patients understand coverage benefits and terminology. The specialist handles complex access transactions, financial counseling, patient inquiries and payments, account documentation, and authorization requirements. The role also follows applicable performance standards, regulations, policies, procedures, guidelines, and third-party contracts, including EMTALA and HIPAA, and observes workplace safety requirements.

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 1,100 or more hours in a related Career Tech program 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.
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, using available systems and resources according to assigned protocols.
Perform financial counseling, including screening for government programs and financial assistance, explaining payment options and arrangements, 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.
Answer inbound calls from patients, physician offices, and insurance carriers with the goal of resolving 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 promptly to patient inquiries about pre-care services, policies, coverage, benefits, and financial liability.
Use multiple resources to resolve patient or payer inquiries and review patient accounts or prior authorization requirements.
Understand payer regulations and communicate coverage benefits and financial liability to patients.
Interpret and comply with performance standards, federal and state regulations including EMTALA and HIPAA, policies, procedures, guidelines, and third-party contracts.
Follow workplace safety rules, promptly report accidents, and correct minor safety hazards.