[Hiring] Patient Access Specialist II @Fairview Health Services

Role Description

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.

• 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.
• Interact with patients and families in challenging and unique situations that may require de-escalation skills.
• 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.
• Confirm insurance benefits for services including coverage limitations, referral or authorization requirements and patient liabilities.
• 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.
• Collaborate and exhibit strong relationships with other departments and team to manage tasks, according to established criteria in a high-volume environment.
• Provide resources and contacts to patients as needed to ensure a seamless experience for the patient.
• Adhere to all compliance, regulatory requirements, department protocols and procedures.
• Protect patient privacy and only access information as needed to perform job duties.
• Contributes to the process or enablement of collecting expected payment.
• Participates in improvement efforts and initiatives that support the organizations goals and vision.
• Understands and Adheres to Revenue Cycle’s Escalation Policy.
• Rotates between hospital emergency room and scheduled services for registered patients.
• Participates in weekend on-call rotation.

Qualifications

• 2 years combination of customer service, other position in healthcare revenue cycle or experience in an equivalent level 1 position.
• 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.

Requirements

• Post-Secondary Education.
• Demonstrate the ability to perform accurately and efficiently in EPIC, Microsoft Office Suite, and other computer programs.
• Experience being a subject matter expert and demonstrated willingness to support team questions.

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!

Company Description

EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status.