Patient Access Specialist II

Fairview Health Services • Maplewood, MN

4h

About The Position

As part of Revenue Cycle Management, the Patient Access Specialist II creates a positive first impression of M Health Fairview and ensures an exceptional experience while interacting with patients, families, and internal and external stakeholders. The role uses interpersonal skills to gather patient demographic information for accurate registration, identify insurance, gather benefits, communicate financial obligations, and collect payments. Individuals in this role are expected to demonstrate M Health Fairview’s commitments of Integrity, Service, Compassion, Innovation, and Dignity, along with critical thinking, a strong work ethic, and flexibility.

This is a casual, non-benefits-eligible role with no set schedule or weekly hours; hours depend on department needs. The position rotates between the hospital emergency room and scheduled services for registered patients and participates in a weekend on-call rotation.

Requirements

• Two years of combined customer service, healthcare revenue cycle, or equivalent level 1 position experience.
• Patient collections experience in a medical setting.
• Effective written and verbal communication skills.
• Attention to detail, self-direction, and a positive attitude.
• Ability to work independently and in a team environment.

Nice To Haves

• Post-secondary education.
• Ability to work accurately and efficiently in EPIC, Microsoft Office Suite, and other computer programs.
• Experience as a subject matter expert and willingness to support team questions.

Responsibilities

• Interview patients to obtain and document accurate demographic and insurance information in the medical record.
• Use insurance knowledge and resources to code insurance and verify eligibility through online, web-based, or phone systems.
• Complete patient check-in, including collecting co-pays and signatures, scanning insurance cards or IDs, and providing required notices.
• Educate patients about price transparency and estimated financial responsibilities, collect amounts owed, and refer patients to financial assistance or counseling resources as appropriate.
• Interact with patients and families in challenging situations, using de-escalation skills when needed.
• Manage daily worklists and work queues and resolve assigned tasks accurately, efficiently, and on time.
• Assist in training and mentoring new and existing staff.
• Confirm insurance benefits, including coverage limitations, referral or authorization requirements, and patient liabilities.
• Provide and communicate proactive price estimates, explain financial responsibilities and coverage gaps, collect payments, and refer patients to financial counseling when appropriate.
• Prepare and deliver notices of non-coverage to patients, such as HINN, ABN, waiver, and Medicare lifetime reserve day notices.
• Follow up with payers on active authorized referral requests to verify determinations or the status of the determination process.
• Collaborate with other departments and teams to manage tasks in a high-volume environment and provide patients with resources and contacts for a seamless experience.
• Comply with regulatory requirements, department protocols, and procedures; protect patient privacy and access information only as needed for job duties.
• Contribute to collecting expected payments.
• Participate in improvement efforts and initiatives supporting organizational goals and vision, and adhere to Revenue Cycle’s Escalation Policy.
• Rotate between hospital emergency room and scheduled services for registered patients.
• Participate in the weekend on-call rotation.

Benefits

• The role is non-benefits eligible.
• The posting describes Fairview’s general benefit package, including medical, dental, and vision plans; life insurance; short- and long-term disability insurance; PTO and Sick and Safe Time; tuition reimbursement; retirement; and early access to earned wages.

What This Job Offers

• Career Level: Entry Level
• Education Level: No Education Listed