Patient Access Specialist

ERDA; Enid, Northern (OK, KY); Hybrid; USD 36,000 - 48,000; Full time

Job summary

INTEGRIS Health Enid Hospital in Enid, OK is seeking a variable shift, full time Patient Access Specialist. You will handle complex patient access transactions, verify insurance, counsel on financial options and maintain accurate records.

The role requires prior patient access or related experience, strong communication, and adherence to EMTALA/HIPAA standards, with opportunities for professional growth within a large not-for-profit health system.

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 or physician's office setting
• May consider 1100+ Career Tech program or one year of college coursework in lieu of experience
• 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

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 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
• 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
• Understands different payer regulations and can communicate effectively 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

Skills

Patient Access

Insurance verification

Phone communication

Education

Career Tech program 1100+ coursework

Healthcare Certification (AAHAM CRCS, HFMA CRCR, NAHAM CHAA)

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.

Join our team as an evening shift, full time, Patient Access Specialist at INTEGRIS Health Enid Hospital in Enid, OK.

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

Responsibilities:

• 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 effectively 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.