Patient Access Specialist

About Us

INTEGRIS Health is Oklahoma’s largest not-for-profit health system, dedicated to partnering with people to live healthier lives. With hospitals, rehabilitation centers, physician clinics, mental health facilities, and home health agencies throughout much of the state, INTEGRIS Health offers career and development opportunities across a broad spectrum of healthcare roles.

About the Role

Join our team as a full-time, day shift Patient Access Specialist at Integris Health Baptist Medical Center in Oklahoma City, OK. This role serves as a liaison between INTEGRIS, patients, providers, and payers for all pre-care matters related to account resolution. You will provide information regarding patient coverage eligibility, benefits, financial liability, and billing practices while ensuring optimal customer and employee satisfaction.

Responsibilities

• Ensure the appropriateness of complex patient access transactions, including coverage eligibility, insurance verification, patient portion calculation, and authorization requirements using available systems and resources.
• Perform financial counseling, including screening for government programs and financial assistance, discussing payment options, processing point-of-service payments, verifying patient demographic information, and obtaining signatures for required paperwork.
• Use analytical thinking, independent judgment, and clinical knowledge to adjust service area schedules and accommodate special requests from internal and external customers.
• Handle inbound calls from patients, physician offices, and insurance carriers to resolve concerns immediately.
• Collect patient payments and follow levels of authority to ensure financial clearance.
• Document all patient account activities concisely, including authorization and patient liability requirements.
• Respond promptly to patient inquiries regarding pre-care services, policies, coverage, benefits, and financial liability.
• Utilize multiple resources to resolve patient or payer inquiries while on the phone or preparing/reviewing patient accounts or prior authorization requirements.
• Communicate effectively with patients about their coverage benefits and financial liability, interpreting different payer regulations.
• Maintain compliance with performance standards, federal and state regulations (including EMTALA and HIPAA), policies, procedures, guidelines, and third-party contracts.
• Follow all safety rules, report accidents promptly, and correct minor safety hazards.

Qualifications

• 1 year of Patient Access operations experience (scheduling, registration, insurance) or related experience (billing, collections, accounts receivables).
• Previous experience in one of the following: scheduling, registration, insurance, billing, collections, or customer service in a hospital or physician’s office setting.
• May substitute successful completion of a 1100+ hour related Career Tech program or one year of college coursework in a related field in lieu of experience.

Preferred Qualifications

• College coursework in a related field or Healthcare Certification (AAHAM CRCS, HFMA CRCR, NAHAM CHAA).
• Previous experience with medical terminology, basic ICD-10, and CPT coding.

Benefits

• Front-loaded PTO.
• Medical benefits through the extensive INTEGRIS Health network.
• Financial assistance for continued education.
• 24/7 mental health support.