Patient Access Specialist II
3 days ago
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 be responsible for creating a positive first impression of our organization and ensuring an exceptional experience for our patients and families.
Key Responsibilities- 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.
- One or more years of customer service experience (healthcare revenue cycle and/or clinical registration experience preferred).
- One or more years of applicable computer knowledge and skills. Demonstrate the ability to perform accurately and efficiently in EPIC, Microsoft Office Suite, and other computer programs.
- Post-Secondary Education.
- Experience being a subject matter expert and demonstrated willingness to support team questions.
- 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.
- Previous Health Unit Coordinator experience or knowledge of medical terminology, abbreviations, and hospital procedures.
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Gondrecourt-le-Château, Grand Est, United States Gillette Children's Full time{"title": "Patient Access Specialist", "description": "Job SummaryWe are seeking a highly skilled Patient Access Specialist to join our team at Gillette Children's. In this role, you will be responsible for providing exceptional patient experience and access for patients and families within our clinic settings.Key ResponsibilitiesProvide quality, complete,...
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Gondrecourt-le-Château, Grand Est, United States Gillette Children's Full time{"title": "Patient Access Specialist", "subtitles": ["Key Responsibilities", "Qualifications", "About Gillette Children's"], "content": ["Key Responsibilities:Provide exceptional patient experience and access for patients and families within Gillette clinic settings.Obtain, update, and verify patient demographic and financial information.Schedule...
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