Patient Access & Financial Counseling Specialist

INTEGRIS Health; Enid (OK); On-site; USD 36,000 - 48,000; Full time

Job summary

INTEGRIS Health Enid Hospital in Enid, OK seeks a variable shift, full-time Patient Access Specialist to join our team. This role handles complex access transactions, insurance verification, and patient financial counseling, aiming for prompt resolution of inquiries and accurate account documentation.

The ideal candidate has experience in scheduling/registration and demonstrates knowledge of payer regulations, EMTALA, and HIPAA, supporting seamless pre-care processes and financial clearance.

Qualifications

• 1 year of Patient Access operations activities (scheduling/registration/insurance) or related experience (billing, collections, accounts receivables)
• Previous experience in scheduling, registration, insurance, billing, collections, and customer service in a hospital or physician's office setting
• May consider successful completion of 1100+ related Career Tech program or one year of college coursework in lieu of experience

Responsibilities

• Ensures the appropriateness of complex patient access transactions including coverage eligibility, insurance verification, patient portion calculation and authorization requirement activity according to protocol
• Performs financial counseling including screening for government programs and financial assistance, payment options and arrangements
• Accepts inbound phone calls from patients, physician offices, insurance carriers, etc. to resolve concerns
• 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 to patient inquiries regarding pre-care services, policies, coverage, benefits and financial liability on calls or while reviewing accounts
• Understands payer regulations and communicates coverage benefits and financial liability to patients
• Participates in team improvement initiatives and quality improvement efforts
• Interprets and maintains compliance with EMTALA and HIPAA policies and third-party contracts

Skills

Customer service

Insurance verification

Financial counseling

Data entry

Scheduling/registration

Education

Career Tech program 1100+ hours

One year college coursework in related field

Job description

INTEGRIS Health Enid Hospital in Enid, OK seeks a variable shift, full-time Patient Access Specialist to join our team. This role handles complex access transactions, insurance verification, and patient financial counseling, aiming for prompt resolution of inquiries and accurate account documentation.

The ideal candidate has experience in scheduling/registration and demonstrates knowledge of payer regulations, EMTALA, and HIPAA, supporting seamless pre-care processes and financial clearance.