Patient Access Specialist I | Colorado Blvd Clinic

Monument Health•Spearfish, SD

11d•$17 - $20•Onsite

About The Position

The Patient Access Specialist I is responsible for front-end patient access and registration functions that support patient care and the revenue cycle. As an initial point of contact, the specialist provides service to patients, families, physicians, clinicians, and internal departments. The role includes collecting and verifying patient and coverage information, supporting financial clearance and point-of-service collections, managing registration and scheduling workflows, and providing reception and business-office support. No 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 work beyond normal scheduled shifts when required and comply with Monument Health's Attendance Policy.
Medium physical work: exert up to 10 pounds of force constantly, up to 25 pounds frequently, and up to 50 pounds occasionally; may seldomly move objects using up to 50 pounds of force.
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

Accurately collect patient demographics, confirm identity and guarantor assignment, and obtain and verify coverage information and required documents across patient settings and communication methods.
Follow Revenue Cycle guidelines and participate in quality assurance and improvement activities.
Apply knowledge of payer information and benefits, including Medicare, Medicaid, commercial payers, and third-party liability payers.
Collect prepayments, outstanding balances, copayments, and coinsurance; reconcile the cash drawer daily and provide basic account reconciliation to patients.
Provide cost estimates for scheduled services, initiate financial clearance, and escalate patient financial clearance needs appropriately.
Review authorization and referral records to confirm financial clearance.
Distribute and obtain required forms and signatures, including treatment consents, financial agreements, ABN/waivers, and other regulatory forms; educate patients and maintain regulatory compliance.
Perform business-office duties, including handling calls and messages, patient and interdepartmental communications, scanning and faxing, taxi vouchers, mail, lost and found, and safekeeping of valuables.
Provide reception, way-finding, and attentive, caring customer service; maintain communication to support a secure and pleasant patient experience.
Obtain referrals and transcribe orders when applicable to the service area.
Schedule patients and perform check-out, manage pre-arrival work for upcoming services, and appropriately monitor wait and recall lists.
Maintain registration-related work queues and resolve errors on an ongoing basis.
Use the electronic medical record for functions such as advanced directives, release of information, and patient portal proxy forms, and educate patients on their purpose and applicable regulations.
Address account inquiries and resolve or escalate them as appropriate.
Work beyond normal scheduled shifts when required to provide quality patient care and comply with the attendance policy.
Perform patient movement activities in the electronic medical record when needed.
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 current and future policies and procedures and report directly to the supervisor.
Perform other duties as assigned.