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Senior Patient Access Specialist
INTEGRIS Health. Provide patient access services for ancillary, diagnostic, surgical, and emergency services .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient access operations, including scheduling, registration, and insurance verification, while ensuring compliance with EMTALA and HIPAA regulations. Proficient in financial clearance processes and capable of training and supporting staff in a healthcare setting.
Highest-signal resume keywords
Patient Access OperationsInsurance VerificationHealthcare ComplianceMedical TerminologyCustomer Service
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
SchedulingRegistrationBillingCollectionsICD-10 CodingCPT CodingData EntryDocument ImagingPoint-Of-Service Payment ProcessingAuthorization Management
Soft Skills
CommunicationProblem-SolvingTeam CoordinationTrainingCustomer Support
Tools & Technologies
Microsoft OfficeBilling SoftwareClaims Management Software
Certifications & Qualifications
AAHAM CRCSHFMA CRCRNAHAM CHAA
Industry Keywords
EMTALAHIPAAMedicareMedicaidThird-Party RegulationsHealthcare ReimbursementPatient LiabilityPerformance Standards
About the role
Key responsibilities & impact- Provide patient access services for ancillary, diagnostic, surgical, and emergency services
- Act as a liaison between INTEGRIS, patients, providers, and payers for pre-care account resolution
- Perform complex registration, scheduling, demographic verification, point-of-service payment processing, consent collection, document imaging, and documentation
- Verify coverage eligibility and insurance, calculate patient portions, and manage authorization requirements
- Adjust service-area schedules and accommodate special requests
- Accept inbound calls and resolve patient, provider, and insurance inquiries
- Collect patient payments and ensure financial clearance
- Document patient account activities, authorization requirements, and patient liability
- Perform filing, data entry, and related duties
- Explain coverage benefits, payer regulations, billing practices, and financial liability
- Resolve complex patient access and account issues and answer reimbursement questions
- Serve as a systems expert and provide on-the-job training, guidance, feedback, and performance support to patient access staff
- Monitor assignments and assess productivity
- Coordinate team-oriented process improvement and continuous quality improvement initiatives
- Establish goals, track progress, and prepare data for presentation
- Maintain compliance with performance standards, EMTALA, HIPAA, regulations, policies, procedures, guidelines, and third-party contracts
Requirements
What you’ll need- 4 years 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
- Bachelor's degree in a related field or healthcare certification (AAHAM CRCS, HFMA CRCR, NAHAM CHAA) preferred
- Previous experience with Microsoft Office programs and admission/discharge/transfer or billing/claims management software
- Previous experience with medical terminology, basic ICD-10 and CPT coding, healthcare program reimbursement, and methodologies
- Previous experience in at least 3 of scheduling, registration, insurance, billing, collections, and customer service
- Knowledge of Medicare, Medicaid, and third-party regulations
- Compliance knowledge of EMTALA and HIPAA, federal and state regulations, policies, procedures, guidelines, and third-party contracts
Benefits
Comp & perks- Front-loaded PTO
- Medical benefits through the extensive INTEGRIS Health network
- Financial assistance for continued education
- 24/7 mental health support
- Career growth opportunities