Patient Access Specialist II

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 while interacting closely with patients, families, and other internal and external stakeholders in a highly organized and professional manner. This role requires effective interpersonal skills to gather patient demographics, verify insurance, communicate benefits, and collect financial obligations.

Responsibilities

• Interview patients to obtain and document accurate 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 notices according to regulatory requirements.
• Support price transparency through patient education and collection of estimated financial responsibilities; refer patients to financial assistance/counseling resources as appropriate.
• Interact with patients and families in challenging situations requiring de-escalation skills.
• Manage daily worklists and/or work queues; 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, communicate financial responsibilities to patients, and collect payments. Inform patients of coverage gaps and educate them on available options.
• Prepare and deliver notices of non-coverage to patients (e.g., HINN, ABN, waiver, Medicare lifetime reserve days).
• Follow up with payers on active authorized referral requests to verify determination or payer step in the process.
• Collaborate with other departments and teams to manage tasks in a high-volume environment; provide resources and contacts to ensure a seamless patient experience.
• Adhere to all compliance, regulatory requirements, department protocols, and procedures. Protect patient privacy and access information only as needed.
• Contribute to collecting expected payments and participate in improvement efforts supporting organizational goals and vision.
• Understand and adhere to Revenue Cycle’s Escalation Policy.
• Rotate between hospital emergency room and scheduled services for registered patients.
• Participate in weekend on-call rotation.

Requirements

• 2 years of combined experience in customer service, healthcare revenue cycle, or an equivalent Level 1 position.
• Patient collections experience in a medical setting.
• Effective communication skills (written and verbal), attention to detail, self-directed attitude, and ability to work independently and in a team environment.

Preferred Qualifications

• Post-secondary education.
• Ability to perform accurately and efficiently in EPIC, Microsoft Office Suite, and other computer programs.
• Experience as a subject matter expert with a demonstrated willingness to support team questions.

Benefits

• Medical, dental, and vision plans.
• Life insurance, short-term and long-term disability insurance.
• Paid Time Off (PTO) and Sick and Safe Time.
• Tuition reimbursement.
• Retirement benefits.
• Early access to earned wages.

Schedule

• Week 1: Wednesday, Thursday, Friday – 7:00 AM to 3:30 PM.
• Week 2: Monday, Tuesday, Wednesday, Saturday, Sunday – 7:00 AM to 3:30 PM.
• Weekend on-call rotation.