Patient Access Specialist

INTEGRIS Health•OK, OK

4h•Onsite

About The Position

INTEGRIS Health is seeking a Patient Access Specialist to work day shift, full-time at the INTEGRIS Health Cancer Institute in Oklahoma City, Oklahoma. The role supports patient access by coordinating coverage eligibility, insurance verification, patient financial responsibility, authorizations, scheduling, financial counseling, and patient account documentation. The specialist responds to inquiries from patients and other parties, helps resolve access and payment concerns, and follows assigned protocols, organizational policies, and applicable regulations.

Requirements

One year of Patient Access operations activities (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 appropriate handling of complex patient access transactions, including coverage eligibility, insurance verification, patient portion calculation, and authorization requirements, using available systems and resources according to assigned protocols.
Provide financial counseling, including screening for government programs and financial assistance, discussing 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 special requests from internal and external customers.
Accept inbound calls from patients, physician offices, and insurance carriers, with the intent to resolve concerns promptly.
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 duties as assigned.
Respond promptly to inquiries about pre-care services, policies, coverage, benefits, and financial liability.
Use multiple resources to resolve patient or payer inquiries while on calls or preparing and reviewing patient accounts or prior authorization requirements.
Understand payer regulations and communicate coverage benefits and financial liability effectively to patients.
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.