Patient Access Specialist

INTEGRIS Health•Ponca City, OK

9d•Onsite

About The Position

Join INTEGRIS Health Ponca City Hospital in Ponca City, Oklahoma, as a part-time, variable night shift Patient Access Specialist. The role provides patient access services for assigned ancillary, diagnostic, surgical, and emergency services to support efficient operations, timely reimbursement, and positive customer 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. The position helps patients understand coverage eligibility and benefits, financial responsibility, billing practices, and coverage terminology. It includes reviewing patient access transactions, conducting financial counseling, managing patient account documentation, responding to inquiries, and supporting financial clearance. The specialist also follows applicable performance standards, regulations, policies, procedures, guidelines, and third-party contracts, including EMTALA and HIPAA.

Requirements

One year of experience in patient access operations, 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

Review complex patient access transactions, including coverage eligibility, insurance verification, patient responsibility calculations, and authorization requirements, using available systems and assigned protocols.
Conduct financial counseling, including screening for government programs and financial assistance, explaining payment options, arranging payments, and processing point-of-service payments.
Verify patient demographic information, obtain required signatures, image documents, and follow documentation standards.
Use analytical thinking, independent judgment, and clinical knowledge to adjust service area schedules and accommodate special requests from internal and external customers.
Answer inbound calls from patients, physician offices, insurance carriers, and others, with the goal of resolving concerns promptly.
Collect patient payments and follow applicable levels of authority to ensure financial clearance.
Document patient account activity 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 and review patient accounts or prior authorization requirements.
Explain payer regulations, coverage benefits, and financial liability to patients.
Maintain compliance with performance standards, federal and state regulations, including EMTALA and HIPAA, and applicable policies, procedures, guidelines, and third-party contracts.