Patient Access Specialist

About the role

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

Responsibilities

The Patient Access Specialist is responsible for patient access activity for ancillary, diagnostic, surgical, and emergency services to facilitate efficient operations, expeditious reimbursement, and optimal customer and employee satisfaction. Acts as a liaison between INTEGRIS and patients, providers, and payers for all pre-care matters related to account resolution.

• 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.
• 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.
• Uses 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 concerns 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 communicates 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.

Requirements

• 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 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.