Patient Access Specialist

INTEGRIS Health; Yukon (OK); Vor Ort; USD 36.000 - 48.000; Vollzeit

Zusammenfassung

INTEGRIS Health Canadian Valley Hospital in Yukon, OK seeks a full-time Patient Access Specialist to manage eligibility, verify insurance, and assist patients with financial counseling.

You will liaise with patients, providers, and payers to resolve pre-care matters and ensure accurate demographic and billing information. The role emphasizes compliance with EMTALA/HIPAA and efficient cash collection in a fast-paced setting.

Qualifikationen

• 1 year of Patient Access operations activities (scheduling/registration/insurance) or related experience (billing, collections, accounts receivable).
• Experience in scheduling, registration, insurance, billing, collections, and customer service in hospital or physician office setting.
• Completion of 1100+ related Career Tech program or one year of college coursework in lieu of experience may be considered.

Aufgaben

• Handle patient access transactions including eligibility verification and insurance checks.
• Provide financial counseling, screen for government programs, discuss payment options and collect patient payments.
• Respond to patient inquiries and maintain accurate documentation of account activity.

Kenntnisse

Patient access operations

Scheduling/Registration

Insurance verification

Financial counseling

Ausbildung

Associate or college coursework in related field

Career Tech program (1100+ hours) in related field

Tools

HIPAA compliance

Jobbeschreibung

Job Description

Join our team as a full time (Mon – Fri 9:30am to 6pm), Patient Access Specialist at INTEGRIS Health Canadian Valley Hospital in Yukon, OK.

Join our team as a full time (Mon – Fri 9:30am to 6pm), Patient Access Specialist at INTEGRIS Health Canadian Valley Hospital in Yukon, 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 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.

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
• 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.

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.