Patient Access Specialist II

OverviewAs 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

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.

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.

QualificationsRequiredExperience

2+ year’s experience in healthcare revenue cycle including medical insurance OR equivalent experience in a Patient Access Specialist position.

Working knowledge and ability to perform accurately and efficiently on EMR, Microsoft Office Suite, and other computer programs.

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

PreferredEducation

Post-Secondary Education

Experience

Experience being a subject matter expert and demonstrated willingness to support team questions.

Patient collections experience in a medical setting.

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