Top 4 Prior authorization specialist Jobs in Ponca City, Ok

Patient Access Specialist
INTEGRIS Health —Ponca City, OK
- Part-time
- Hospital
- Medical office experience
- HIPAA
- Health insurance
- Paid time off
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Patient Access Specialist

INTEGRIS Health -
Ponca City, OK

Quick Apply

Job Details

Part-time

Benefits

Health insurance
Paid time off

Qualifications

Medical billing inquiries
In-person patient registration
Some college
Health insurance co-pays
Patient question and concern management
Safety protocol adherence
Payment processing
CHAA
Medical office experience
Coding for hospital billing
Health insurance customer support
Patient demographics
HIPAA
Patient complaint handling
Mid-level
Patient financial aid assistance
Financial issue resolution
Medical scheduling
Phone customer support
Financial counseling
Health insurance pre-authorization requirements
Health information regulatory compliance
Emergency Medical Treatment and Labor Act (EMTALA)
Document imaging
Medical billing regulations compliance
Medical terminology
Patient collections management

Full Job Description

Join our team as a variable night shift, part time, Patient Access Specialist at INTEGRIS Health Ponca City Hospital in Ponca City, OK.

Get to Know Your Team

INTEGRIS Health, Oklahoma’s largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives.
Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more.
Take the first step toward growing your career by joining us.

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 patient's coverage eligibility and benefits, patients financial liability, INTEGRIS Health's billing practices and policies. Assists patients in understanding coverage benefits and coverage terminology.

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
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
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

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

Preferred Job Qualifications:

College coursework in related field or Healthcare Certification (AAHAM CRCS, HFMA CRCR, NAHAM CHAA) preferred
Previous experience with medical terminology, basic ICD 10 and CPT coding preferred

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.

Get to Know Your Team

INTEGRIS Health, Oklahoma’s largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives.
Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more.
Take the first step toward growing your career by joining us.

Quick Apply

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Patient Access Specialist

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