What are the responsibilities and job description for the Lead Patient Access Specialist< position at M Health Fairview?
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
- Subject matter expert for registration, insurance verification, and benefits collection in support of price transparency through patient education and collection on estimated financial responsibilities, including co-pay, deductible, and/or co-insurance.
- Review and resolve complex patient situations that require a higher degree of expertise and critical thinking and are often in collaboration with the patient, family, physician and/or other organization staff as well as external stakeholders such as the patient’s insurance company.
- Exhibit strong relationship building, organizational and diplomacy skills. Ability to prioritize and manage tasks according to established criteria in a high-volume environment.
- Aide in the training and the mentoring of new and existing staff on all aspects of the department and the broader Revenue Cycle.
- Assist with staff schedules and daily assignment of work including, but not limited to shift coverage, and quality audits.
- Document departmental workflows and participate/initiate workflow improvement activities, including but not limited to, identification of themes that present barriers to the work and conducting employee observation to understand refinement and/or automation opportunities.
- Support supervisor with other duties as assigned.
- 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.
- Acts as a subject matter expert for internal and external teams to troubleshoot and assist with escalations, questions, and issues
- Supports and/or completes daily work assignments for team
- Completes daily work assignment timely and accurately.
- Supports and/or completes audit/quality checks
- Responsible for documentation and archival of workflows
Qualifications
Required
- Four or more years in healthcare revenue cycle, health insurance, OR experience in an equivalent level 2 position.
- Demonstrate the ability to perform accurately and efficiently in EPIC, Microsoft Office Suite, and other computer programs.
- Demonstrate the ability to handle and de-escalate complex accounts, problem solve and use critical thinking.
- Demonstrate the ability of multi-tasking and time management.
- Patient collections experience in a medical setting.
- Effective communication skills (both written and verbal), strong attention to detail, self-directed and a positive attitude are essential.
- Experience being the subject matter expert and demonstrated willingness to support team questions
- Ability to work independently and in a team environment
Preferred
- Post-Secondary Education
- Previous Lead or Supervisory experience
Compensation
$23.61-$33.34 / Hourly
Salary : $24 - $33
