Patient Access Specialist - EZAuth Authorization Team

Job Description

INTEGRIS 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

Access Center EZAuth Authorization 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.

Responsibilities

The 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 protocol

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

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

Accepts 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 clearance

Documents all patient account activities concisely, including authorization and patient liability requirements

Performs 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 requirements

Understands different payer regulations and can communicate effectively with patients regarding their coverage benefits and financial liability

Participates in team-oriented process improvement initiatives for the department and organization

Participates in continuous quality improvement efforts, establishes goals with supervisors and tracks progress

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

Reports 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.

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 should include utilizing standard office equipment and PC software

Previous experience with medical terminology, basic ICD 10 and CPT coding preferred

Must be able to communicate effectively with others in English (verbal / written)

About Us

INTEGRIS Health mission :

Partnering with people to live healthier lives.

To our patients, that means we will partner to provide unprecedented access to quality and compassionate health care. To you, it means some of the state's best career and development opportunities. With INTEGRIS Health, you will have a genuine chance to make a difference in your life and your career.

INTEGRIS Health is the state's largest Oklahoma-owned health system with hospitals, rehabilitation centers, physician clinics, mental health facilities and home health agencies throughout much of the state.