Patient Access 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

Join our team as a variable shift, full time, Patient Access Specialist at INTEGRIS Health Enid Hospital in Enid, 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.

Responsibilities:

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
• 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 effective 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

INTEGRIS Health 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.

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)
• Previous experience with medical terminology, basic ICD 10 and CPT coding