Patient Access Specialist I | Primary Care

Monument Health Rapid City Hospital•Gillette, WY

2d•Onsite

About The Position

The Patient Access Specialist I is responsible for front-end patient access and registration functions, supporting patient care and the revenue cycle. As a first point of contact, the specialist provides service to patients, families, physicians, clinicians, and internal departments. The role includes collecting and verifying patient, guarantor, and insurance information; supporting financial clearance and collections; completing registration and business office tasks; and helping patients navigate their care experience. No prior experience is necessary to begin a healthcare career in this role.

Requirements

Ability to work assigned schedules and hours as determined by the department.
Ability to meet the role's medium physical work demands, including lifting or moving objects as described in the posting.
Possible exposure to blood, bodily fluids, or tissues.

Nice To Haves

High school diploma or GED equivalent.
At least 1 year of customer service experience.
At least 1 year of patient relations experience.
At least 1 year of medical patient accounts or financial services experience.

Responsibilities

Collect and accurately verify patient demographics, identity, guarantor assignment, coverage information, and documents needed for check-in or admission across patient settings and communication methods.
Follow Revenue Cycle guidelines and participate in quality assurance and improvement activities.
Demonstrate knowledge of payer information and benefits, including Medicare, Medicaid, commercial payers, and third-party liability payers.
Perform point-of-service collections, including prepayments, outstanding balances, copayments, and coinsurance, and reconcile the cash drawer daily.
Provide basic account reconciliation and cost estimates for scheduled services; escalate financial clearance needs appropriately.
Review authorization and referral records to confirm financial clearance.
Educate patients and obtain required forms and signatures, including treatment consents, financial agreements, ABNs/waivers, and other regulatory forms.
Perform business office duties, including handling calls and messages, patient and departmental communications, scanning and faxing, taxi vouchers, mail distribution, and lost-and-found and valuables processes.
Provide wayfinding, reception, and attentive, friendly service that supports patients' emotional and physical needs and maintains communication throughout their experience.
Obtain referrals and order transcription when applicable to the service area.
Schedule patients and complete check-out, manage pre-arrival tasks, and appropriately monitor wait lists and recall lists.
Maintain registration-related work queues and resolve errors.
Use the electronic medical record for tasks involving advance directives, release of information, and patient portal proxy forms; educate patients about the basic purpose and regulations of these processes.
Address account inquiries and resolve or escalate them as appropriate.
Work beyond normal scheduled shifts when required and comply with Monument Health's Attendance Policy.
Perform patient movement activities in the electronic medical record and arrange patient transportation and other enabling services when needed.
Assist the clinical care team as needed, including providing transport under clinical team direction.
Attend mandatory education, compliance, and safety sessions; comply with policies and procedures; report directly to the supervisor; and perform other assigned duties.