Patient Access Specialist

INTEGRIS Health; Oklahoma City (OK); On-site; USD 38,000 - 46,000; Full time

Job summary

INTEGRIS Health Baptist Medical Center in Oklahoma City seeks a Patient Access Specialist for day shift. You will handle scheduling, registration, insurance verification, and financial counseling to ensure accurate pre-care processes and prompt revenue cycle flow.

The role emphasizes excellent patient service, adherence to HIPAA/EMTALA, and collaboration with patients, providers, and payers to resolve coverage and liability questions.

Qualifications

• 1 year of Patient Access operations activities (scheduling/registration/insurance) or related experience.
• Experience in scheduling, registration, insurance, billing, collections, and customer service in 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.

Responsibilities

• Facilitate pre-care operations and account resolution for patients, providers, and payers.
• Provide information on coverage eligibility, benefits, and patient financial liability.
• Assist with financial counseling, government program screening, and payment arrangements.
• Handle inbound calls to resolve concerns and collect patient payments.
• Document all patient account activities accurately and timely.
• Respond to inquiries regarding policies, coverage, and financial liability.
• Utilize resources to resolve payor inquiries during phone calls or while reviewing accounts.
• Communicate payer regulations and coverage details to patients clearly.
• Maintain compliance with EMTALA, HIPAA, and related policies and contracts.

Skills

Patient access operations

Healthcare customer service

Financial counseling

Insurance verification

HIPAA compliance

Education

AAHAM CRCS

HFMA CRCR

NAHAM CHAA

Job description

Job Description

Join our team as a day shift, full time, Patient Access Specialist at INTEGRIS Health Baptist Medical Center Portland Avenue in Oklahoma City, OK.

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.

• 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

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.