Patient Access Specialist

3 weeks ago

Edmond, United States INTEGRIS Health Full time

Job DescriptionINTEGRIS Health, Oklahoma's largest not-for-profit health system has a great opportunity for a Patient Access Specialist in Oklahoma City, OK. In this position, you'll work with our Patient Registration Team 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.ResponsibilitiesThe 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 requirementsPerforms 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 requirementsUnderstands different payer regulations and can communicate effectively with patients regarding their coverage benefits and financial liabilityParticipates in team-oriented process improvement initiatives for the department and organizationParticipates in continuous quality improvement efforts, establishes goals with supervisors and tracks progressInterprets 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 hazardsReports 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.Qualifications1 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 experienceCollege coursework in related field or Healthcare Certification (AAHAM CRCS, HFMA CRCR, NAHAM CHAA) preferredPrevious experience should include utilizing standard office equipment and PC softwarePrevious experience with medical terminology, basic ICD 10 and CPT coding preferredMust be able to communicate effectively with others in English (verbal/written)

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