This position is responsible for completing the registration process within Patient Access and creating the first impression of Fairview's services to patients and families and other external customers. The Patient Access Services Representative must be able to articulate information in a manner that patients, guarantors and family members understand and so they know what to expect and have an understanding of their financial responsibilities
Performs registration process by interviewing patients and collecting and recording all necessary demographic and insurance eligibility information. Ensures that proper insurance payor plan choice and billing address are assigned in the automated patient accounting system. Verifies relevant group/ID numbers.
Completes the registration process by activating patients and assigning bed/patient placement if appropriate. Works to resolve patient placement issues with key stakeholders.
Ensures patient receives necessary disclosures, privacy information and signs the Consent to Treat documentation.
Reconciles daily census.
Completes automated insurance eligibility verification when applicable and appropriately documents information in Fairviews patient accounting system. Utilizes payer websites when appropriate to determine the patients insurance type and educates patients regarding coverage and/or coverage issues.
Accurately identifies self-pay accounts and refers them to the appropriate department for financial counseling.
Collect co-payments, co-insurance, and deductibles per Fairviews POS collections policies and procedures.
Reconcile daily deposits and cash box.
Advises manager and clinical liaison of possible postponement or deferrals of any elective/non-emergent admission which has not been approved prior to service date. Maintains accurate files for pre-processing information as required.
Investigates, resolves and documents patient problems in a timely and efficient manner, maintains accurate files for pre-processing informationand contacts medical staff, nursing staff, ancillary departments and administration as necessary
High school diploma or GED
One or more years customer service experience and basic knowledge of word processing, spreadsheet applications and Internet.
Together with the University of Minnesota and University of Minnesota Physicians we have created M Health Fairview. M Health Fairview is the newly expanded collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The healthcare system combines the best of academic and community medicine — expanding access to world-class, breakthrough care through our 10 hospitals and 60 clinics.
Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Fairview is one of the most comprehensive and geographically accessible systems in the state, with 10 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area.
Its broad continuum also includes 60 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider netwo...rk and health insurer PreferredOne. In partnership with the University of Minnesota, Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.