Patient Access Specialist II

Job Overview /p

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.

ul liUMMC Emergency Room 330p-12a liWeek 1:
Monday, Tuesday, Friday, Saturday, Sunday liWeek 2:
Monday, Tuesday /ul esponsibilities ul liInterview patients to obtain and document accurate patient demographic and insurance information in the medical record. liUse insurance knowledge and resources to accurately code insurance and verify eligibility using online, web-based or phone systems to ensure accuracy and expedite payment. liPerform 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 liInteract with patients and families in challenging and unique situations that may require de-escalation skills. liManage 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.
liConfirm insurance benefits for services including coverage limitations, referral or authorization requirements and patient liabilities. liProvide 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. liPrepare and communicate/deliver notices of non-coverage to patients (ex: HINN, ABN, waiver, Medicare lifetime reserve days).
liFollow up with payers on active authorized referral requests to verify determination or payer step in determination process. liCollaborate 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. liAdhere to all compliance, regulatory requirements, department protocols and procedures.

Protect patient privacy and only access information as needed to perform job duties. liContributes to the process or enablement of collecting expected payment liParticipates in improvement efforts and initiatives that support the organizations goals and vision. Understands and Adheres to Revenue Cycle’s Escalation Policy. liRotates between hospital emergency room and scheduled services for registered patients. liParticipates in weekend on-call rotation.
/ul equired Qualifications ul li2 years combination of customer service, other position in healthcare revenue cycle or liexperience in an equivalent level 1 position liPatient collections experience in a medical setting. liEffective communication skills (both written and verbal), attention to detail, self-directed and a positive attitude are essential. liAbility to work independently and in a team…