Patient Access Specialist

INTEGRIS Health•Oklahoma City, OK

About The Position

INTEGRIS Health Cardiovascular Physicians is hiring a full-time, day-shift Patient Access Specialist in Oklahoma City, Oklahoma. The role supports patient access by handling coverage eligibility, insurance verification, patient financial liability, authorizations, financial counseling, scheduling needs, and patient inquiries. The specialist uses available systems and resources to resolve patient and payer concerns, maintain accurate account documentation, and provide clear information about coverage and financial responsibilities. The position also participates in process and quality improvement while following applicable performance standards, laws, regulations, policies, procedures, and third-party contracts.

Requirements

One year of experience in patient access operations, 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.
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 calculations, and authorization requirements, using assigned protocols and available resources.
Perform 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 on required paperwork, image documents, and follow 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, seeking to resolve concerns immediately.
Collect patient payments and follow levels of authority to ensure financial clearance.
Document patient account activities 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 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 and 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.
Perform filing, data entry, and other duties as assigned.