Patient Access Specialist I | 5th St Clinic

Monument Health•Rapid City, SD

5d•$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. The role serves as a primary point of contact for patients, families, physicians, clinicians, and internal departments, providing compassionate service and helping create a welcoming, secure, and pleasant experience. The position includes collecting and verifying patient demographics, identity, guarantor, and coverage information; supporting financial clearance and point-of-service collections; reviewing authorization and referral records; processing required forms and signatures; and assisting with patient scheduling, check-in, and check-out. It also includes business office duties, account inquiries, registration work queue maintenance, and coordination with clinical teams when needed. The position may require work beyond scheduled shifts and requires compliance with company policies and mandatory education, compliance, and safety sessions.

Requirements

Ability to work assigned schedules and hours as determined by the department.
Ability to comply with Monument Health policies and procedures and attendance requirements.
Ability to work beyond normal scheduled shifts when required.

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 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, while maintaining compliance.
Perform business office duties, including handling calls and messages, in-basket messaging, patient and intra-departmental communications, scanning and faxing, taxi vouchers, mail distribution, lost and found, and safe and valuables.
Provide reception and way-finding and interact with customers in a friendly, caring, and attentive manner.
Obtain referrals and order transcription when applicable to the service area.
Schedule patients and perform check-out, manage pre-arrival work for upcoming services, and monitor wait lists and recall lists according to protocols.
Maintain registration-related work queues and resolve errors.
Use the electronic medical record for functions such as advanced directives, release of information, and patient portal proxy forms, and educate patients about 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, 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.