Patient Access Specialist

INTEGRIS Health•Oklahoma City, OK

18d•Onsite

About The Position

INTEGRIS Health is hiring a full-time Patient Access Specialist at INTEGRIS Health Baptist Medical Center in Oklahoma City, Oklahoma. The position works a mid shift, Wednesday through Friday, 9 a.m. to 9 p.m. The Patient Access Specialist supports patient access by handling coverage and insurance verification, patient financial counseling, payment collection, scheduling adjustments, patient inquiries, and account documentation in accordance with assigned protocols and applicable regulations.

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 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, 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 resources according to assigned protocol.
Perform financial counseling, including screening for government programs and financial assistance, explaining payment options and arrangements, processing point-of-service payments, verifying patient 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 goal of resolving 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.
Perform filing, data entry, and other duties as assigned.
Respond promptly to patient inquiries regarding pre-care services, policies, coverage, benefits, and financial liability.
Use multiple resources to resolve patient or payor inquiries while on the phone or while preparing or reviewing patient accounts and prior authorization requirements.
Understand payer regulations and communicate effectively with patients about coverage benefits and financial liability.
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 maintain compliance with performance standards, federal and state regulations including EMTALA and HIPAA, policies, procedures, guidelines, and third-party contracts.