Patient Access Specialist III

Fairview Health Services•Minneapolis, MN

8d•Onsite

About The Position

This is a unique float role scheduled for 0.7 FTE (56 hours every two weeks), with an every-other-weekend rotation. The position floats between five locations—UMMC, Woodwinds, St. John's, Ridges, and Southdale—depending on need, which may vary from week to week. The schedule is mainly evenings and overnights. As part of Revenue Cycle Management, the Patient Access Specialist III creates a positive first impression of M Health Fairview and helps ensure an exceptional experience while interacting with patients, families, and internal and external stakeholders. The role gathers accurate patient demographic and insurance information, verifies insurance and benefits, communicates financial obligations, and collects payments. It requires professionalism, organization, interpersonal skills, critical thinking, a strong work ethic, and flexibility, while demonstrating M Health Fairview's commitments to Integrity, Service, Compassion, Innovation, and Dignity.

Requirements

At least 3 years of healthcare revenue cycle or health insurance experience, or experience in an equivalent Level 2 position.
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 as part of a team.

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 to obtain 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.
Complete patient check-in, collect co-pays, obtain signatures, scan insurance cards and/or IDs, and provide notices required by regulations.
Educate patients about price transparency and estimated financial responsibilities, collect payments, 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, resolving assigned tasks accurately and efficiently.
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 deliver notices of non-coverage, including HINN, ABN, waivers, and Medicare lifetime reserve day notices.
Assist patients with billing or insurance questions and applications for assistance programs; refer them to financial counseling as needed.
Mentor and onboard new staff, support team questions, and perform other duties assigned by the lead.
Review and resolve complex accounts requiring advanced expertise and critical thinking; act as a liaison to leadership for financially risky situations.
Create complex estimates and analyze their accuracy using the estimator tool and knowledge of managed care payment methodologies, including APC, DRG, per diem, and fee schedules; adjust data and recalculate when needed.
Serve as a subject matter expert on department workflows.
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 that support organizational goals and vision, and follow Revenue Cycle's Escalation Policy.
Rotate between hospital emergency room and scheduled services for registered patients.
Participate in the weekend on-call rotation.
Float or flex between five hospital locations.