Patient Access Specialist - Nights PRN

INTEGRIS Health; Grove (OK); On-site; USD 35,000 - 50,000; Full time

Job summary

A leading healthcare provider in Oklahoma is seeking a Patient Access Specialist to join its team in Grove. This role provides key patient support by ensuring efficient access to healthcare services, handling insurance verifications, and assisting patients with financial counseling. Ideal candidates will have previous experience in patient access operations and possess strong communication skills.

Benefits

Front loaded PTO

100% INTEGRIS Health paid short term disability

Increased retirement match

Paid family leave

Qualifications

• 1 year of Patient Access operations activities or related experience.
• Ability to communicate effectively in English (verbal/written).
• Experience with medical terminology, basic ICD 10 and CPT coding preferred.

Responsibilities

• Ensures appropriateness of complex patient access transactions.
• Performs financial counseling activity including screening for government programs.
• Accepts inbound phone calls from patients, physician offices, and insurance carriers.

Skills

Communication

Analytical Thinking

Education

College coursework in related field

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

Job description

INTEGRIS Health Grove, Oklahoma's largest not-for-profit health system has a great opportunity for a Patient Access Specialist in Grove, Oklahoma. In this position, you'll work Nights PRN 7p-7a with our Patient Registration team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and paid family leave. We invite you to join us as we strive to be The Most Trusted Partner for Health.

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.

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)

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.