Patient Access Specialist I | Colorado Blvd Clinic

Monument Health Rapid City Hospital•Spearfish, SD

10d•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. This role serves as a first point of contact for patients and provides service to patients, families, physicians, clinicians, and internal departments. No prior experience is necessary to begin a healthcare career in this position. The specialist collects and verifies patient information, supports financial clearance and point-of-service collections, maintains registration records and work queues, and performs scheduling and business office duties. The role also provides reception and way-finding, communicates with patients and departments, and may assist with patient transportation and clinical team needs. 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 perform medium work: exert up to 10 pounds of force constantly, up to 25 pounds frequently, and up to 50 pounds occasionally or seldomly to move objects.
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.
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 patients with basic account reconciliation and cost estimates for scheduled services; 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; educate patients as required.
Perform business office duties, including handling calls and messages, patient and internal communications, scanning and faxing, taxi vouchers, mail distribution, lost and found, and safe and valuables tasks.
Provide service excellence through reception, way-finding, and friendly, caring interactions; maintain communication to support a secure and pleasant patient experience.
Obtain referrals and order transcription where applicable to the service area.
Schedule patients and perform check-out, manage pre-arrival tasks according to department protocols, and monitor wait lists and recall lists.
Maintain registration-related work queues and resolve errors on an ongoing basis.
Use the electronic medical record for registration-related work, including advanced directives, release-of-information records, and patient portal proxy forms; educate patients about basic purpose 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 when needed.
Arrange patient transportation and other enabling services when needed.
Assist the clinical care team as needed, including providing transport in cooperation with 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.