Patient Access Specialist

INTEGRIS Health•OK, OK

14d•Onsite

About The Position

INTEGRIS Health Oklahoma Endoscopy North in Oklahoma City is seeking a full-time Patient Access Specialist for the day shift, Monday through Friday, 7:30 a.m. to 4 p.m. 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 and patients, providers, and payers for pre-care account resolution, and explains coverage eligibility and benefits, financial liability, and INTEGRIS Health billing practices and policies.

Requirements

One year of patient access operations activities, 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 and basic ICD-10 and CPT coding.

Responsibilities

Ensure the appropriateness 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 demographics, obtaining required signatures, imaging documents, and following documentation standards.
Use analytical thinking, independent judgment, and clinical knowledge to adjust service-area schedules and accommodate internal and external customer requests.
Accept inbound calls from patients, physician offices, and insurance carriers, aiming 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 accounts and prior authorization requirements.
Understand payer regulations and communicate coverage benefits and financial liability effectively to patients.
Interpret and comply with performance standards, federal and state regulations including EMTALA and HIPAA, policies, procedures, guidelines, and third-party contracts.
Follow safety rules, promptly report accidents, and correct minor safety hazards.