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INTEGRIS Health

Oklahoma not-for-profit hospital network

Patient Access Specialist

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeOklahoma City, OK, USANo salary listedIn-person

About the Job

Requirements

  • One year of experience in patient access operations such as scheduling, registration, or insurance, or related experience in billing, collections, or accounts receivable.
  • Previous experience in scheduling, registration, insurance, billing, collections, or customer service in a hospital or physician's office setting.
  • Successful completion of a related 1100-hour or longer Career Tech program or one year of college coursework in a related field may substitute for the experience requirement.
  • College coursework in a related field or a healthcare certification such as AAHAM CRCS, HFMA CRCR, or NAHAM CHAA is preferred.
  • Previous experience with medical terminology, basic ICD-10 coding, and CPT coding is preferred.

Responsibilities

  • Provide patient access activity for ancillary, diagnostic, surgical, and emergency services to facilitate efficient operations, timely reimbursement, and customer and employee satisfaction.
  • Act as a liaison between INTEGRIS Health and patients, providers, and payers for pre-care matters related to account resolution.
  • Provide information about patient coverage eligibility and benefits, financial liability, billing practices, and policies.
  • Assist patients in understanding coverage benefits and terminology.
  • Ensure the appropriateness of complex patient access transactions, including coverage eligibility, insurance verification, patient portion calculation, and authorization requirements, using available systems and resources according to assigned protocols.
  • Perform financial counseling, including screening for government programs and financial assistance, explaining payment options and arrangements, processing point-of-service payments, verifying patient demographics, obtaining signatures, imaging documents, and following documentation standards.
  • Use analytical thinking, independent judgment, and clinical knowledge to adjust service-area schedules and accommodate special requests from internal and external customers.
  • Accept inbound calls from patients, physician offices, insurance carriers, and others to resolve concerns promptly.
  • Collect patient payments and follow levels of authority to ensure financial clearance.
  • Document patient account activities concisely, including authorization and patient-liability requirements.
  • Respond to patient inquiries about pre-care services, policies, coverage, benefits, and financial liability.
  • Use multiple resources to resolve patient or payer inquiries by phone and while preparing or reviewing patient accounts or prior-authorization requirements.
  • Understand payer regulations and communicate coverage benefits and financial liability to patients.
  • Maintain compliance with performance standards, federal and state regulations including EMTALA and HIPAA, policies, procedures, guidelines, and third-party contracts.
  • Follow workplace safety rules, report accidents promptly, and correct minor safety hazards.

Desired Qualifications

  • College coursework in a related field or a healthcare certification such as AAHAM CRCS, HFMA CRCR, or NAHAM CHAA.
  • Previous experience with medical terminology, basic ICD-10 coding, and CPT coding.

About the Company

INTEGRIS Health

Oklahoma not-for-profit hospital network

INTEGRIS Health is a not-for-profit health care system in Oklahoma that runs eight full-service hospitals in the Oklahoma City area plus the Integris Health Heart Hospital and a network of clinics. It funds care by charging for medical services and reinvests profits into patient care, expanded services, and community health programs; patients can use the INTEGRIS Health & Me portal to view test results and request refills. It differentiates itself as Oklahoma-owned and not-for-profit, focusing on reinvestment in care and cardiovascular care through its Heart Hospital, rather than distributing profits to shareholders. Its goal is to improve patient care, broaden services, and boost community health outcomes across Oklahoma.

Company size
5,001-10,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Oklahoma City, OK
Founded
2008

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