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The Patient Access Specialist II is responsible for managing patient registration, verifying insurance eligibility, and collecting financial obligations within a revenue cycle management framework. The role also involves mentoring staff, handling patient inquiries, and ensuring compliance with regulatory requirements in a high-volume hospital environment.
Requirements
Candidates must have at least 2 years of experience in customer service or healthcare revenue cycle roles, including specific experience with medical patient collections. Proficiency in computer systems like Epic and Microsoft Office is preferred, along with strong communication and interpersonal skills.
Full job description
Job 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.
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. Understands and Adheres to Revenue Cycle’s Escalation Policy.
Rotates between hospital emergency room and scheduled services for registered patients.
Participates in weekend on-call rotation.
FTE-0.7-6AM-2:30PM
Week1-Mon, Tues, Fri, Sat, Sun
Week2-Wed, Thur
Required Qualifications
2 years combination of customer service, other position in healthcare revenue cycle or
experience in an equivalent level 1 position
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 Qualifications
Post-Secondary Education
Demonstrate the ability to perform accurately and efficiently in EPIC, Microsoft Office Suite, and other computer programs.
Experience being a subject matter expert and demonstrated willingness to support team questions.
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 foradditional 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. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.
EEO Statement
EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
Fairview Health Services is Minnesota’s choice for healthcare. We’re an industry-leading, award-winning, nonprofit offering a full network of healthcare services. Our broad network is designed to be ready for our patients’ every need, while delivering quality care with compassion.
Our care portfolio includes community hospitals, academic hospitals, primary and specialty care clinics, senior facilities, facilitated living centers, rehabilitation centers, home health care services, counseling, pharmacies and benefit management services.
We’re built on a tradition of compassionate care. This is our home, and our patients are our neighbors. We’re here to heal, we’re here for you.
We are part of M Health Fairview, an expanded academic health system that represents a collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The partnership combines the university’s deep history of clinical innovation and training with Fairview’s extensive roots in community medicine.
Together, we’re expanding access to world-class, patient-centered care through our 10 hospitals, 60 primary care clinics, specialty clinics, pharmacies, home care, hospice, and medical transportation service.
Fairview also operates the Ebenezer senior living communities and offers Employer Solutions such as EAP and pharmacy benefit management.
Search for jobs and apply at https://www.fairview.org/careers.
Offices: 2450 Riverside Ave, Minneapolis, MN 55454, US
HealthcareHospitalPrimary Care ClinicHealth SystemSpecialty ClinicChildren's HospitalSenior LivingUrgent CareMental health careand Nonprofit
Fairview Health Services is Minnesota’s choice for healthcare. We’re an industry-leading, award-winning, nonprofit offering a full network of healthcare services. Our broad network is designed to be ready for our patients’ every need, while delivering quality care with compassion.
Our care portfolio includes community hospitals, academic hospitals, primary and specialty care clinics, senior facilities, facilitated living centers, rehabilitation centers, home health care services, counseling, pharmacies and benefit management services.
We’re built on a tradition of compassionate care. This is our home, and our patients are our neighbors. We’re here to heal, we’re here for you.
We are part of M Health Fairview, an expanded academic health system that represents a collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The partnership combines the university’s deep history of clinical innovation and training with Fairview’s extensive roots in community medicine.
Together, we’re expanding access to world-class, patient-centered care through our 10 hospitals, 60 primary care clinics, specialty clinics, pharmacies, home care, hospice, and medical transportation service.
Fairview also operates the Ebenezer senior living communities and offers Employer Solutions such as EAP and pharmacy benefit management.
Search for jobs and apply at https://www.fairview.org/careers.
Offices: 2450 Riverside Ave, Minneapolis, MN 55454, US
HealthcareHospitalPrimary Care ClinicHealth SystemSpecialty ClinicChildren's HospitalSenior LivingUrgent CareMental health careand Nonprofit