Patient Access Specialist

INTEGRIS Health; Oklahoma City (OK); On-site; USD 35,000 - 55,000; Full time

Job summary

INTEGRIS Health is seeking a Patient Access Specialist to facilitate efficient patient access operations. This role requires managing patient information, verifying coverage eligibility, and offering financial guidance. Successful candidates will have prior experience in patient operations and a strong background in customer service, ensuring compliance with healthcare regulations.

Qualifications

• 1 year of Patient Access operations activities or related experience.
• Previous experience in scheduling, registration, insurance or billing.
• Must communicate effectively in English.

Responsibilities

• Ensure appropriate patient access transactions including insurance verification.
• Perform financial counseling and patient payment processing.
• Document all patient account activities and inquiries.

Skills

Analytical Thinking

Effective Communication

Customer Service

Education

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

College coursework in related field

Job description

Join to apply for the Patient Access Specialist role at INTEGRIS Health

3 days ago Be among the first 25 applicants

Join to apply for the Patient Access Specialist role at INTEGRIS Health

Job Description

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.

Job Description

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.

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 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 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
• Follows all safety rules while on the job, reports accidents promptly and corrects minor safety hazards
  
  

Reports to assigned supervisor.

This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information. Potential for exposure to infections and communicable diseases, blood and body fluids, electrical equipment, chemicals. Must follow standard precautions.

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
• College coursework in related field or Healthcare Certification (AAHAM CRCS, HFMA CRCR, NAHAM CHAA) preferred
• Previous experience should include utilizing standard office equipment and PC software
• Previous experience with medical terminology, basic ICD 10 and CPT coding preferred
• Must be able to communicate effectively with others in English (verbal/written)

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at INTEGRIS Health by 2x

Sign in to set job alerts for “Patient Access Specialist” roles.

Patient Access Specialist PT M-F 9am -1pm (66380)

Oklahoma City Metropolitan Area 5 days ago

Patient Access Specialist 8AM - 12PM, M-F (66399)

Oklahoma City Metropolitan Area 3 days ago

Oklahoma City Metropolitan Area 4 days ago

Patient Access/ Medical Billing Representative (Oklahoma City, OK)

Patient Access Specialist - Full Time - ED

Patient Access Specialist - Part Time - Days

Patient Access Representative - Premium Pay for ED - Part Time

Account Executive, Patient Monitoring and Diagnostics (Oklahoma City or Fort Worth Based),

Oklahoma City, OK $60,000.00-$132,000.00 3 days ago

Patient Services Rep - Colorectal Surgery Clinic

Oklahoma City, OK $18.00-$23.00 5 days ago

Patient Services Representative - Faculty Practice Clinic

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.