Patient Access Specialist

INTEGRIS Health; Ponca City (OK); On-site; USD 32,000 - 42,000; Full time

Benefits offered by this job

Front-loaded PTO

Medical benefits

Educational assistance

24/7 mental health support

Job summary

INTEGRIS Health Ponca City Hospital in Ponca City, OK is seeking a variable shift, full-time Patient Access Specialist. The role encompasses complex access transactions, financial counseling, and rapid issue resolution for patients and providers.

You will work within a not-for-profit health system committed to compassionate care and continuous improvement. The position requires related experience in patient access or healthcare billing, with opportunities for career growth and access to robust

Qualifications

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

Responsibilities

• Ensures complex patient access transactions including coverage eligibility, insurance verification, patient portion calculation and authorization according to protocol
• Financial counseling including screening for government programs and financial assistance, payment options and arrangements, processing point of service payments, verifying patient demographics and obtaining signatures
• Uses analytical thinking and independent judgment to adjust service area schedules and accommodate special requests
• Accepts inbound calls from patients, physician offices, insurers to resolve concerns
• Collects patient payments and ensures financial clearance
• Documents all patient account activities 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 and financial liability; utilizes resources to resolve inquiries on phone or accounts
• Understands payer regulations and communicates coverage benefits and financial liability to patients
• Participates in team-oriented process improvement initiatives for the department and organization
• Participates in continuous quality improvement, tracks progress with supervisors
• Interprets and maintains compliance with EMTALA and HIPAA, policies and third-party contracts

Job description

Job Description

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

Job Description

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

About Us

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.