Patient Access Specialist

INTEGRIS Health•Oklahoma City, OK

18d

About The Position

INTEGRIS Health is hiring a PRN Patient Access Specialist for the evening shift at INTEGRIS Health Baptist Medical Center in Oklahoma City, Oklahoma. The stated shift is Saturday, 9 a.m. to 9 p.m. The role supports patient access by handling eligibility and insurance verification, authorizations, financial counseling, patient payments, documentation, scheduling adjustments, and patient and payer inquiries. The position follows assigned protocols and applicable performance standards, regulations, policies, procedures, guidelines, and third-party contracts.

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 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 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 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.
Perform filing, data entry, and other assigned duties.
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 or 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.