Patient Access Specialist II
About The Position
As part of Revenue Cycle Management, this position is responsible for creating a positive first impression of M Health Fairview and ensuring an exceptional experience is achieved while interacting closely with patients, families, and other internal and external stakeholders in a highly organized and professional manner. This position must utilize effective interpersonal skills to gather patient demographic for a complete and accurate registration, identifies insurance, gathers benefits, communicates, and collects patient's financial obligations. Individuals in this role are expected to demonstrate the M Health Fairview commitments (Integrity, Service, Compassion, Innovation and Dignity) along with critical thinking skills, a strong work ethic and flexibility. Two-Week Rotational Schedule: Week One: Monday, Tuesday, Wednesday, Thursday, Friday Week Two: Monday, Tuesday, Wednesday, Thursday, Friday Shift: 330p-12a
Requirements
- High School High School Diploma or GED
- 2 years combination of customer service, other position in healthcare revenue cycle or experience in an equivalent level 1 position
- Demonstrate the ability to perform accurately and efficiently in EPIC, Microsoft Office Suite, and other computer programs.
- Patient collections experience in a medical setting.
- Effective communication skills (both written and verbal), attention to detail, self-directed and a positive attitude are essential.
- Ability to work independently and in a team environment.
Nice To Haves
- Post-Secondary Education
- Experience being a subject matter expert and demonstrated willingness to support team questions.
Responsibilities
- Interview patients to obtain and document accurate patient demographic and insurance information in the medical record.
- Use insurance knowledge and resources to accurately code insurance and verify eligibility using online, web-based or phone systems to ensure accuracy and expedite payment.
- Perform check-in process including collection of co-pays, signatures on forms, scanning insurance cards and/or IDs and provide patient with any notices according to regulatory requirements. Support price transparency through patient education and collection on estimated financial responsibilities and refer patient to financial assistance/counseling resources as appropriate
- Manage daily worklists and/or work queues and resolve assigned tasks in a timely, accurate, and efficient manner. Assist in training and mentoring new and existing staff.
- Provide proactive price estimates and communicate to patient to help them understand their financial responsibilities and collect. Inform patient of gaps in coverage, educate patient on available options and refer to financial counseling for assistance.
- Prepare and communicate/deliver notices of non-coverage to patients (ex: HINN, ABN, waiver, Medicare lifetime reserve days).
- Follow up with payers on active authorized referral requests to verify determination or payer step in determination process.
- Adhere to all compliance, regulatory requirements, department protocols and procedures. Protect patient privacy and only access information as needed to perform job duties.
Benefits
- Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: https://www.fairview.org/careers/benefits/noncontract
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What This Job Offers
Career Level
Mid Level
Industry
Hospitals
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
