Patient Access Specialist
INTEGRIS Health · Oklahoma, United States · Yesterday
On-siteFinancePart-time
Job Description Join our team as a variable shift, PRN, 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 looking for a committed caregiver to join our team. Working PRN at INTEGRIS Health offers flexible scheduling, competitive pay and the chance to make a meaningful difference in the lives of those we serve. Join us in our mission to partner with people to live healthier lives. 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 protocolPerforms 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 protocolPossesses the ability to use analytical thinking, independent judgment, and clinical knowledge to adjust service area schedules and accommodate special requests from internal and external customersAccepts 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 clearanceDocuments all patient account activities concisely, including authorization and patient liability requirementsResponds 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 requirementsUnderstands different payer regulations and can communicate effectively with patients regarding their coverage benefits and financial liabilityInterprets and maintains compliance with performance standards, federal and state regulations including EMTALA and HIPAA, policies, procedures, guidelines, and third-party contractsFollows 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 settingMay 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 looking for a committed caregiver to join our team. Working PRN at INTEGRIS Health offers flexible scheduling, competitive pay and the chance to make a meaningful difference in the lives of those we serve. Join us in our mission to partner with people to live healthier lives.