Patient Access Specialist - Cardiology Referrals

INTEGRIS Health•Oklahoma City, OK

1d•Onsite

About The Position

INTEGRIS Health, Oklahoma’s largest not-for-profit health system, is seeking a Patient Access Specialist for its Cardiology Referral Team in Oklahoma City, OK. This full-time, day shift position involves providing patient access activity for ancillary, diagnostic, surgical, and emergency services to ensure efficient operations, expeditious reimbursement, and optimal customer and employee satisfaction. The specialist acts as a liaison between INTEGRIS and patients, providers, and payers for all pre-care matters related to account resolution. Key responsibilities include providing information on coverage eligibility, benefits, patient financial liability, and INTEGRIS Health's billing practices, as well as assisting patients in understanding their coverage benefits and terminology.

Requirements

1 year of Patient Access operations activities (scheduling/registration/insurance) or related experience (billing, collections, accounts receivables)
Previous experience in one of the following: scheduling, registration, insurance, billing, collections, and customer service in either a hospital or physician's office setting
May consider successful completion of 1100+ related Career Tech program or one year of college coursework in a related field in lieu of experience
Must be able to communicate effectively with others in English (verbal/written)

Nice To Haves

College coursework in related field or Healthcare Certification (AAHAM CRCS, HFMA CRCR, NAHAM CHAA) preferred
Previous experience should include utilizing standard office equipment and PC software
Previous experience with medical terminology, basic ICD 10 and CPT coding preferred

Responsibilities

Ensures the appropriateness of complex patient access transactions including coverage eligibility, insurance verification, patient portion calculation and authorization requirement activity utilizing available systems and resources according to assigned protocol
Performs financial counseling activity including screening for government programs and financial assistance, payment options and arrangements, processing point of service payments, verifying patient demographic information, obtaining signatures for required paperwork, document imaging and following documentation standards to facilitate efficient patient access according to assigned protocol
Possesses the ability to use analytical thinking, independent judgment, and clinical knowledge to adjust service area schedules and accommodate special requests from internal and external customers
Accepts inbound phone calls from patients, physician offices, insurance carriers, etc. with the intent to resolve the concern immediately
Collects patient payments and follows levels of authority to ensure financial clearance
Documents all patient account activities concisely, including authorization and patient liability requirements
Performs filing, data entry, and other duties as assigned
Responds promptly to patient inquiries regarding pre-care services, policies, coverage, benefits and financial liability
Utilizes multiple resources to resolve patient or payor inquiries while on the phone or preparing/reviewing patient accounts or prior authorization requirements
Understands different payer regulations and can communicate effectively with patients regarding their coverage benefits and financial liability
Participates in team-oriented process improvement initiatives for the department and organization
Participates in continuous quality improvement efforts, establishes goals with supervisors and tracks progress
Interprets and maintains compliance with performance standards, federal and state regulations including EMTALA and HIPAA, policies, procedures, guidelines, and third-party contracts
Follows all safety rules while on the job, reports accidents promptly and corrects minor safety hazards
Reports to assigned supervisor