Patient Access Specialist I | Orthopedic | E Colorado St

Monument Health Rapid City Hospital•Spearfish, SD

1d•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 a first point of contact, the specialist provides service to patients, families, physicians, clinicians, and internal departments. The role includes collecting and verifying patient demographic, identity, guarantor, and coverage information; supporting financial clearance; completing check-in, scheduling, and checkout functions; and maintaining registration-related records and work queues. 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 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

Collect and accurately verify patient demographics, identity, guarantor assignment, and insurance coverage; obtain required check-in or admission 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, and reconcile the cash drawer daily.
Provide basic patient account reconciliation and cost estimates for scheduled services; escalate financial clearance needs when appropriate.
Review authorization and referral records to confirm financial clearance.
Distribute and obtain required regulatory forms and signatures, including treatment consents, financial agreements, ABN/waivers, and other forms, while maintaining compliance.
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 service excellence through reception, way-finding, and attentive, caring communication that supports patients’ emotional and physical needs.
Obtain referrals and order transcription when applicable to the service area.
Schedule patients and complete checkout, including 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 for functions including advanced directives, release of information, and patient portal proxy forms; educate patients on the basic purpose and regulations of the patient portal.
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 the team’s direction.
Attend mandatory education, compliance, and safety sessions; comply with policies and procedures and report directly to the supervisor.
Perform other duties as assigned.