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Patient Access Specialist - Denial Prevention Team - Access Center

Company: INTEGRIS Health
Location: Oklahoma City
Posted on: April 8, 2021

Job Description:

Patient Access Specialist - Denial Prevention Team - Access Center - INTEGRIS Health

Denial Prevention Team is seeking a candidate with extensive authorizations and denials sampling experience.

If you enjoy a challenging position that requires critical thinking, knowledge and understanding of hospital billing, denials and authorization concepts while thinking outside the box and offer solutions to problems and impact change, then APPLY TODAY!!

Enjoy a Great work schedule: Monday - Friday. No Nights! No Weekends! No Holidays! Earn excellent full-time benefits including personal paid leave and retirement savings! Plus be eligible for overtime and an Incentive Program!!

Position Summary:

The Patient Access Specialist II is responsible for the provision of complex 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.

Essential Functions:

The Patient Access Specialist II responsibilities include, but are not limited to, the following:

* Performs complex registration activity including scheduling, verifying patient demographic information, processing point of service payments, obtaining signatures for required consent paperwork, document imaging and following documentation standards to facilitate efficient patient access according to assigned protocol

* Performs 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

* Resolves complex patient issues and responds to questions on reimbursement and serves as a resource to patient access specialists as needed, including on-the-job training

* Handles all communication effectively, including telephone, email, and verbally with all departments and caregivers within the health system

* Demonstrates the components of the Vision, Mission and The INTEGRIS Values of Love, Learn and Lead

* Participates and provides significant input on team-oriented process improvement initiatives for the department and organization

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

* Possesses the ability to interpret 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 the supervisor or manager of the department as assigned

Required Physical Demands (Subject to Reasonable Accommodation):
Keyboarding/Dexterity: Frequently; activity exists from 1/3 to 2/3 of the time
Standing/Walking: Occasionally; activity exists up to 1/3 of the time
Strength (Lift/Carry/Push/Pull): Sedentary (exerting up to 10 pounds of force occasionally)
Talking (Must be able to effectively communicate verbally): Yes
Seeing: Yes
Hearing: Yes
Color Acuity (Must be able to distinguish and identify colors): No

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.

Environmental Conditions:

Office environment with no known exposures to hazardous materials.

Job Code: 8319

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.


* 2 years college coursework in related field preferred

* 3 years of Patient Access operations activities (scheduling/registration/insurance) or related experience (billing, collections, accounts receivables)

* Healthcare Certification (AAHAM CRCS, HFMA CRCR, NAHAM CHAA) preferred

* Previous experience with medical terminology, basic ICD 10 and CPT coding, healthcare program reimbursement and methodologies

* Previous experience with Microsoft Office programs

* Previous experience in the following scheduling, registration, insurance (including Medicare, Medicaid, and third party regulations), billing, collections, and customer service in either a hospital or physicians office setting preferred

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

Keywords: INTEGRIS Health, Oklahoma City , Patient Access Specialist - Denial Prevention Team - Access Center, Other , Oklahoma City, Oklahoma

Click here to apply!

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