Patient Access Specialist II

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.

22.51 to 31.78 / hourly

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.
• Utilize a high degree of proficiency with payer rules and regulations to assist patients with understanding their coverage and options.
• Follow up with payers on active authorized referral requests to verify determination or payer step in determination process.
• Capture approval information, generating a referral shell in epic to secure a date of service and noting all steps in the patient's guarantor account in Epic
• 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 Cycle's Escalation Policy.

Qualifications

Required

Preferred

EEO Statement

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

Benefit Overview

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! Please follow this link for additional information : https : / / www.fairview.org / careers / benefits / noncontract

Compensation Disclaimer

An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical.