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.
• 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.

Required

Experience

• 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

Preferred

Education

• Post-Secondary Education

Experience

• Experience being a subject matter expert and demonstrated willingness to support team questions.
• Patient collections experience in a medical setting.