Patient Access Specialist II

Fairview Health Services•Edina, MN

22h

About The Position

As part of Revenue Cycle Management, the Patient Access Specialist II creates a positive first impression of M Health Fairview and works to ensure an exceptional experience while interacting with patients, families, and internal and external stakeholders. The position gathers patient demographic and insurance information for accurate registration, identifies insurance, confirms benefits, communicates financial obligations, and collects payments. It requires effective interpersonal and critical-thinking skills, a strong work ethic, flexibility, and demonstration of M Health Fairview’s commitments to Integrity, Service, Compassion, Innovation, and Dignity. The position works 11:00 p.m. to 7:30 a.m. on a rotating two-week schedule: Monday through Sunday in week one and no scheduled days in week two. It 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-one-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 serving as a subject matter expert and willingness to support team questions.

Responsibilities

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