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Website INTEGRIS Health
Job Description:
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.
Job Responsibilities:
- Participates in team-oriented process improvement initiatives for the department and organization
- Documents all patient account activities concisely, including authorization and patient liability requirements
- 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 to facilitate efficient patient access according to assigned protocol
- Accepts inbound phone calls from patients, physician offices, insurance carriers, etc. with the intent to resolve the concern immediately.
- Understands different payer regulations and can communicate effectively with patients regarding their coverage benefits and financial liability
- 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 protocol
- Interprets and maintains compliance with performance standards, federal and state regulations including EMTALA and HIPAA, policies, procedures, guidelines, and third-party contracts
- Performs filing, data entry, and other duties as assigned.
- Collects patient payments and follows levels of authority to ensure financial clearance
- Possesses the ability to use analytical thinking, independent judgment, and clinical knowledge to adjust service area schedules and accommodate special requests from internal and external customers
- Participates in continuous quality improvement efforts, establishes goals with supervisors and tracks progress
- 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
Job Requirements:
- 1 year of Patient Access operations activities (scheduling/registration/insurance) or related experience (billing, collections, accounts receivables)
- Must be able to communicate effectively with others in English (verbal/written)
- May consider successful completion of 1100+ related Career Tech program or one year of college coursework in a related field in lieu of experience
- Previous experience in one of the following: scheduling, registration, insurance, billing, collections, and customer service in either a hospital or physician’s office setting
- Previous experience with medical terminology, basic ICD 10 and CPT coding preferred
- College coursework in related field or Healthcare Certification (AAHAM CRCS, HFMA CRCR, NAHAM CHAA) preferred
- Previous experience should include utilizing standard office equipment and PC software
Job Details:
Company: INTEGRIS Health
Vacancy Type: Full Time
Job Functions: Other
Job Location: Enid, OK, US
Application Deadline: N/A
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