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Patient Access Specialist
INTEGRIS Health. Ensure appropriate complex patient access transactions, including coverage eligibility, insurance verification, patient portion calculation, and authorization requirements .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient access operations, including insurance verification, financial counseling, and compliance with healthcare regulations. Proficient in managing patient accounts and resolving inquiries while maintaining high standards of service and confidentiality.
Highest-signal resume keywords
Patient Access OperationsInsurance VerificationFinancial CounselingMedical TerminologyHealthcare Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient SchedulingRegistrationBillingCollectionsICD-10 CodingCPT CodingDocument ImagingPoint-of-Service PaymentsAuthorization RequirementsFinancial Clearance
Soft Skills
Customer ServiceCommunicationProblem SolvingAttention to DetailInterpersonal Skills
Certifications & Qualifications
AAHAM CRCSHFMA CRCRNAHAM CHAA
Industry Keywords
EMTALAHIPAAHealthcare RegulationsPatient LiabilityThird-Party Contracts
About the role
Key responsibilities & impact- Ensure appropriate complex patient access transactions, including coverage eligibility, insurance verification, patient portion calculation, and authorization requirements
- Perform financial counseling, screen for government programs and financial assistance, explain payment options, process point-of-service payments, verify demographics, obtain signatures, and complete document imaging
- Adjust service area schedules and accommodate special requests from internal and external customers
- Accept inbound calls from patients, physician offices, and insurance carriers and resolve concerns
- Collect patient payments and follow authority levels to ensure financial clearance
- Document patient account activities, authorization requirements, and patient liability requirements
- Respond to inquiries about pre-care services, policies, coverage, benefits, and financial liability
- Use multiple resources to resolve patient or payer inquiries and prepare or review patient accounts and prior authorization requirements
- Explain payer regulations, coverage benefits, and financial liability to patients
- Maintain compliance with performance standards, EMTALA, HIPAA, regulations, policies, procedures, guidelines, and third-party contracts
- Follow safety rules, report accidents, and correct minor safety hazards
Requirements
What you’ll need- 1 year of Patient Access operations activities (scheduling/registration/insurance) or related experience (billing, collections, accounts receivables)
- Previous experience in scheduling, registration, insurance, billing, collections, or customer service in a hospital or physician's office setting
- May substitute successful completion of a 1100+ related Career Tech program or one year of college coursework in a related field for experience
- College coursework in a related field or Healthcare Certification (AAHAM CRCS, HFMA CRCR, NAHAM CHAA) preferred
- Previous experience with medical terminology, basic ICD-10 and CPT coding preferred
- High school graduate
Benefits
Comp & perks- Front-loaded PTO
- Medical benefits through the extensive INTEGRIS Health network
- Financial assistance for continued education
- 24/7 mental health support