Patient Access Specialist | Lacrosse St Clinic

Monument Health Rapid City Hospital•Rapid City, SD

7d•Onsite

About The Position

The Patient Access Specialist II is responsible for accurate 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 position follows a self-scheduling model using a rotational sign-up process. The standard weekly schedule consists of three 12-hour shifts and one 4-hour shift, plus four weekend shifts per month, two on-call shifts per month, and every other holiday.

Requirements

Ability to work assigned schedules and hours as determined by the department.
Ability to meet the position’s physical demands: medium work involving 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 verify patient demographics, identity, guarantor assignment, coverage information, and 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.
Perform point-of-service collections, including prepayments, outstanding balances, copayments, and coinsurance, and reconcile the cash drawer daily.
Provide basic patient account reconciliation and 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, messages, in-basket and patient communications, departmental communications, scanning and faxing, taxi vouchers, mail distribution, lost and found, and safekeeping valuables.
Provide reception, way-finding, and attentive, compassionate service to meet customers’ emotional and physical needs and maintain communication throughout their experience.
Obtain referrals and order transcription when applicable to the service area.
Schedule patients, complete check-out, manage pre-arrival tasks according to department protocols, and monitor wait and recall lists.
Maintain registration-related work queues and resolve errors on an ongoing basis.
Use the electronic medical record for registration-related functions, including advanced directives, release of information, and patient portal proxy forms; educate patients on basic purpose and regulations.
Address patient 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 transportation and other enabling services; and assist the clinical care team, including providing transport as directed.
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.