Patient Access Specialist

INTEGRIS Health•Yukon, OK

20d•Onsite

About The Position

The Patient Access Specialist provides patient access services for assigned ancillary, diagnostic, surgical, and emergency services. The role supports efficient operations, timely reimbursement, and positive patient and employee experiences. The specialist serves as a liaison between INTEGRIS Health and patients, providers, and payers on pre-care matters related to account resolution. They explain coverage eligibility and benefits, patient financial responsibility, and INTEGRIS Health billing practices and policies, helping patients understand coverage and related terminology. This is a PRN role with variable shifts at INTEGRIS Health Canadian Valley Hospital in Yukon, Oklahoma. INTEGRIS Health describes PRN work as offering flexible scheduling, competitive pay, and the opportunity to contribute to its mission of helping people live healthier lives.

Requirements

One year of patient access operations experience, 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 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 in accordance with assigned protocols.
Provide 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 promptly.
Collect patient payments and follow levels of authority to ensure financial clearance.
Document patient account activity 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 during calls and while preparing or reviewing patient accounts or 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.