Patient Access Specialist | Gillette

About the role

It starts with heart. As a Patient Access Specialist I at Monument Health, you can begin your healthcare career with no experience necessary. You will be valued as an essential team member providing compassionate patient-focused care. You will discover a culture of teamwork, professionalism, mutual respect, and—most importantly—a life-changing career. You will make a difference every day.

As a Patient Access Specialist I, you are responsible for the integrity of all front-end patient access and registration functions including support of excellent patient care and seamless revenue cycle process. You are the first person our patients see each time they enter the facility or department! You are a trusted resource to provide service excellence to all patients, families, physicians, clinicians, and internal departments.

Our vision at Monument Health is to be one team, to listen, to be inclusive, and to show we care. To do the right thing every time.

Responsibilities

• Collect demographics, confirm patient identity, assign guarantors, and verify coverage information from patients or informants across various settings using phone, letters, face-to-face, and bedside communication.
• 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; daily reconciliation of cash drawer.
• Provide patients with basic account reconciliation and initiate financial clearance by providing cost estimates for scheduled services.
• Review and understand authorization and referral records to confirm financial clearance; escalate needs on behalf of the patient.
• Educate patients and maintain regulatory compliance by distributing and/or obtaining required forms and signatures including consents for treatment, financial agreements, ABN/waivers, and other regulatory forms.
• Perform business office duties including incoming phone calls and messages, in-basket messaging, patient communications, intra-departmental communications, scanning/faxes, taxi vouchers, mail distribution, lost and found, safekeeping of valuables, and other duties as assigned.
• Provide service excellence including wayfinding and reception; interact with customers in a friendly and caring way, attentive to both emotional and physical needs.
• Maintain communication with customers to provide a secure and pleasant experience throughout the system.
• Obtain referrals and order transcription as applicable to the service area.
• Perform patient scheduling and check-out, including pre-arrival management for upcoming services per protocols, managing and monitoring patient wait lists and recall lists.
• Maintain registration-related work queues including ongoing resolution of errors.
• Use the electronic medical record for advanced directives, release of information, patient portal proxy forms; educate patients on basic purpose and regulations.
• Address account inquiries and resolve or escalate as appropriate.
• Perform patient movement activities in the electronic medical record and arrange patient transportation and other enabling services.
• Assist the clinical care team as needed, including providing transport in cooperation with clinical team direction.
• Attend all mandatory education, compliance, and safety program sessions and comply with all current and future policies and procedures.

Requirements

• High School Diploma or GED equivalent.

Preferred Additional Requirements

• 1+ years of customer service experience.
• 1+ years of patient relations experience.
• 1+ years of medical patient accounts/financial services experience.

Physical Requirements

• Medium work—exerting up to 10 pounds of force constantly (67–100% of the time), and/or up to 25 pounds of force frequently (34–66% of the time), and/or up to 50 pounds of force occasionally (up to 33% of the time), and/or up to 50 pounds seldom (up to 10% of the time) to move objects.
• Possible exposure to blood, bodily fluids, or tissues.

Pay

Starting pay rate range: $17.27 – $19.85 per hour, determined by the knowledge, skills, and experience of the applicant.