Patient Access Specialist II

3 weeks ago

St Paul, United States Fairview Health Services Full time

Overview:

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.

Responsibilities/Job Description:
  • 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.
  • Confirm insurance benefits for services including coverage limitations, referral, 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.
  • 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 and efficient manner. Assist mentoring new staff.
  • 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.
  • Participates in improvement efforts and initiatives that support the organizations goals and vision. Understands and Adheres to Revenue Cycles Escalation Policy.


Qualifications:

Required

Experience

  • 2+ years experience in healthcare revenue cycle including medical insurance OR equivalent experience in a Patient Access Specialist position.
  • Working knowledge and ability to perform accurately and efficiently on EMR, Microsoft Office Suite, and other computer programs.
  • 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

Preferred

Education

  • Post-Secondary Education

Experience

  • Experience being a subject matter expert and demonstrated willingness to support team questions.
  • Patient collections experience in a medical setting.

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