Patient Access Specialist

INTEGRIS Health; Edmond (OK); On-site; USD 21,000 - 30,000; Full time

Benefits offered by this job

Front-loaded PTO

Medical benefits through INTEGRIS

Education assistance

24/7 mental health support

Job summary

INTEGRIS Health Edmond Hospital in Edmond, OK is seeking a Day Shift Full-time Patient Access Specialist (Mon–Fri 9am–5:30pm). This role supports ancillary, diagnostic, surgical and emergency services and acts as liaison between patients, providers and payers to ensure accurate eligibility, coverage and financial clearance.

The ideal candidate has experience in scheduling/registration/insurance, strong communication skills, and is comfortable with counseling patients on benefits and costs.

Qualifications

• 1 year of Patient Access operations activities (scheduling/registration/insurance) or related experience
• Previous experience in scheduling, registration, insurance, billing, collections, and customer service in a hospital/physician office
• 1100+ related Career Tech program or one year of college coursework in a related field in lieu of experience

Responsibilities

• Provides patient access activities for ancillary, diagnostic, surgical and emergency services to facilitate efficient operations and patient satisfaction
• Acts as liaison between INTEGRIS and patients, providers, and payers for pre-care matters related to account resolution
• Explains coverage eligibility, benefits and patient financial liability to patients and assists with financial clearance
• Uses systems to verify coverage, determine patient portions and authorization requirements
• Performs financial counseling including screening for government programs and financial assistance
• Receives inbound calls from patients and providers to resolve concerns promptly
• Documents all patient account activities and ensures accurate data and signatures
• Communicates about pre-care policies, coverage and billing with patients
• Maintains compliance with EMTALA, HIPAA and internal policies

Skills

Patient Access operations

Scheduling/Registration

Insurance verification

Financial counseling

Customer service

Education

Career Tech program or related coursework

Healthcare certifications (CRCS/CRCR/CHAA)

Job description

Join our team as a Day Shift (Mon – Fri 9am – 5:30pm), Full time, Patient Access Specialist at INTEGRIS Health Edmond Hospital in Edmond, OK.

Get to Know Your Team

• INTEGRIS Health, Oklahoma’s largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives.
• Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more.
• Take the first step toward growing your career by joining us.

Qualifications

• 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

Preferred Job Qualifications

• College coursework in related field or Healthcare Certification (AAHAM CRCS, HFMA CRCR, NAHAM CHAA) preferred
• Previous experience with medical terminology, basic ICD 10 and CPT coding preferred

INTEGRIS is an Equal Opportunity/Affirmative Action Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.

Responsibilities

The Patient Access Specialist is responsible for the provision of patient access activity for ancillary, diagnostic, surgical and emergency services as assigned to facilitate efficient operations, expeditious reimbursement and optimal customer satisfaction and employee satisfaction. Acts as a liaison between INTEGRIS and patients, providers, and payers for all pre-care matters related to account resolution. Provides information regarding the patients coverage eligibility and benefits, patients financial liability, INTEGRIS Health's billing practices and policies. Assists patients in understanding coverage benefits and coverage terminology.

The Patient Access Specialist responsibilities include, but are not limited to, the following:

• 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
• 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
• 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