Patient Access Specialist I | Mt Rushmore Rd | RCMC Division

Monument Health Rapid City Hospital•Rapid City, SD

16h•Onsite

About The Position

The Patient Access Specialist I is responsible for the integrity of front-end patient access and registration functions, supporting compassionate patient care and a seamless revenue cycle process. The role serves as a first point of contact for patients and provides service to patients, families, physicians, clinicians, and internal departments. No experience is necessary to begin a healthcare career in this position. The specialist collects and verifies patient and coverage information, supports financial clearance and point-of-service collections, manages forms and registration records, and performs scheduling and business office duties. The role also provides reception and way-finding, addresses patient inquiries, and may assist with patient movement or transportation as directed. Employees must attend mandatory education, compliance, and safety sessions and follow applicable policies and procedures.

Requirements

Ability to work assigned schedules and hours as determined by the department.
Ability to meet the physical demands of medium work, including exerting up to 10 pounds of force constantly, up to 25 pounds frequently, and up to 50 pounds occasionally or seldomly to move objects.
May be exposed 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 check-in or admission documents.
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, reconcile the cash drawer daily, and provide basic patient account reconciliation.
Provide cost estimates for scheduled services, initiate financial clearance, escalate financial clearance needs, and review authorization and referral records.
Distribute and obtain required forms and signatures, including treatment consents, financial agreements, ABN/waivers, and other regulatory forms.
Perform business office duties, including managing calls, messages, patient and intra-departmental communications, scanning and faxes, taxi vouchers, mail, lost and found, and safe and valuables.
Provide reception, way-finding, and attentive, caring service while maintaining communication to support a secure and pleasant patient experience.
Obtain referrals and order transcription when applicable to the service area.
Schedule patients, perform check-out and pre-arrival management, and manage wait lists and recall lists according to protocols.
Maintain registration-related work queues and resolve errors.
Use the electronic medical record and educate patients about advanced directives, release of information, patient portal proxy forms, and applicable purposes and regulations.
Address account inquiries and resolve or escalate them as appropriate.
Work beyond normal scheduled shifts when required and comply with the Attendance Policy.
Perform patient movement activities in the electronic medical record and arrange transportation or 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 program sessions; comply with current and future policies and procedures; and report directly to the supervisor.
Perform other duties as assigned.