Patient Access Specialist II+

17 hours ago

Minneapolis, Minnesota, United States Fairview Health Services Full time
Job Summary

We are seeking a highly organized and detail-oriented Patient Access Specialist II+ to join our team at Fairview Health Services. As a Patient Access Specialist II+, you will play a critical role in ensuring a positive first impression of our organization and providing exceptional experiences for our patients and families.

Key Responsibilities
  • Interview patients to obtain and document accurate 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.
Requirements
  • 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.
Preferred
  • Post-Secondary Education
  • Experience being a subject matter expert and demonstrated willingness to support team questions.

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