Patient Access Specialist I | Primary Care

Monument Health•Gillette, WY

3d•$17 - $20•Onsite

About The Position

The Patient Access Specialist I is responsible for the integrity of front-end patient access and registration functions, supporting patient care and the revenue cycle. The specialist is often the first person patients see and provides service to patients, families, physicians, clinicians, and internal departments. No experience is necessary to begin this healthcare career. The role includes gathering and verifying registration and coverage information, supporting financial clearance and collections, maintaining registration work queues, scheduling patients, and completing business office duties. The specialist provides a welcoming and attentive experience while maintaining regulatory compliance and following Revenue Cycle guidelines. Additional duties may include arranging transportation, supporting clinical care teams, and moving patients within the electronic medical record. The position is based at Monument Health Gillette Clinic in Gillette, Wyoming. It is scheduled for 40 hours per week. Employees must work schedules and hours assigned by the department and may be required to work beyond normal scheduled shifts.

Requirements

Ability to work assigned schedules and hours as determined by the department.
Ability to comply with Monument Health's Attendance Policy, including the possibility of working beyond normal scheduled shifts.
Ability to perform medium physical work: exert up to 10 pounds of force constantly, up to 25 pounds frequently, and up to 50 pounds occasionally; may also move objects weighing up to 50 pounds seldomly.
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 using appropriate 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.
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 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, ABNs, waivers, and other regulatory forms.
Perform business office duties, including handling calls and messages, patient and interdepartmental communications, scanning and faxing, taxi vouchers, mail, lost and found, and safe and valuables.
Provide reception, way-finding, and attentive customer service that supports a secure and pleasant patient experience.
Obtain referrals and order transcription when applicable to the service area.
Schedule patients and complete check-out, manage pre-arrival processes, and monitor wait lists and recall lists according to department protocols.
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.
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; follow current and future policies and procedures and report directly to the supervisor.
Perform other duties as assigned.