Patient Access Specialist

INTEGRIS Health•Yukon, OK

4d•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, helping support efficient operations, reimbursement, and patient and employee satisfaction. The specialist serves as a liaison among INTEGRIS, patients, providers, and payers on pre-care matters related to account resolution, and explains coverage eligibility, benefits, financial liability, billing practices, and coverage terminology. The position handles complex access transactions, financial counseling, patient communications, payment collection, documentation, and account resolution according to assigned protocols. It also requires compliance with applicable performance standards, regulations, policies, procedures, guidelines, and third-party contracts, including EMTALA and HIPAA.

Requirements

One year of patient access operations (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 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 protocol.
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 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 intent 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 regarding 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.
Interpret and maintain compliance with performance standards, federal and state regulations including EMTALA and HIPAA, policies, procedures, guidelines, and third-party contracts.
Follow safety rules, report accidents promptly, and correct minor safety hazards.