Patient Access Specialist

Responsibilities

• Provides patient access activity for ancillary, diagnostic, surgical and emergency services.
• Liaises 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.
• 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.
• Accommodates special requests from internal and external customers by adjusting service area schedules.
• Communicates with patients, physician offices, insurance carriers, etc. to resolve concerns.
• Collects patient payments and ensures financial clearance.
• Documents all patient account activities concisively, 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.
• Interprets and maintains compliance with performance standards, federal and state regulations including EMTALA and HIPAA, policies, procedures, guidelines, and third-party contracts.
• 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.
• 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.

About the Role

Join our team as a day shift, full time, Patient Access Specialist at INTEGRIS Health Miami Hospital in Miami, OK.