Patient Access Specialist I | Clinic

Job Summary

It starts with heart. That is what you will do each day. 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.

Essential Job Functions

• Accountable for accurately collecting demographics, confirming patient identity, guarantor assignment, and coverage information and verification from patients or informants including obtaining necessary documents for check-in or admission among various patient settings, utilizing various communication methods (i.e phone, letters, face-to-face, bedside).
• Assists in achieving the strategic objectives of Monument Health by following Revenue Cycle guidelines. Including participating in quality assurance and improvement activities.
• Demonstrates knowledge of payer information and benefits, including Medicare, Medicaid, and commercial payers as well as third party liability payers.
• Performs point of service collections including prepayments, outstanding balances, co-payment and co-insurance; daily reconciliation of cash drawer.
• Provides patients with basic account reconciliation. Initiates financial clearance by providing patient with cost estimates for scheduled services. Properly escalates financial clearance needs on behalf of the patient.
• Review and understand authorization and referral records to confirm financial clearance. Educates patient and maintains regulatory compliance as required by distributing and/or obtaining required forms and signatures including consents for treatment and financial agreements, ABN/waivers, and other regulatory forms.
• Performs 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, safe and valuables and other duties as assigned.
• Provides service excellence including way-finding, reception. Demonstrates the importance of satisfying the needs of the customer by interacting with him/her in a friendly and caring way, being attentive to both emotional and physical needs. Takes responsibility to maintain communication with the customer in order to provide a secure and pleasant experience throughout the system.
• May obtain referrals and order transcription, as applicable to service area.
• Perform patient scheduling and check-out, including pre-arrival management for upcoming services per protocols within the supported department, managing and monitoring patient wait lists and recall lists appropriately.
• Maintain registration related work queues including ongoing resolution of errors. Working knowledge of the electronic medical record: advanced directives, release of information, patient portal proxy forms. Ability to educate patient on the patient basic purpose, and regulations.
• Address account inquires, resolve or escalate inquiries as appropriate.
• May perform patient movement activities in the electronic medical record.
• May arrange patient transportation and other enabling services.
• Aid clinical care team as needed including providing transport in cooperation with clinical team direction.
• Responsible for attending all mandatory education, compliance and safety program sessions.

Preferred Additional Requirements

• Education - High School Diploma/GED Equivalent
• Work Experience - 1+ years Customer Service Experience; 1+ years Patient Relations Experience; 1+ years Medical Patient Accounts/Financial Services Experience

Scheduling Requirements

Requires the ability to work assigned schedules and hours as determined by the department.

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 occassionally (up to 33% of the time), and/or up to 50 pounds seldomly to move objects.
• Possible exposure to blood, bodily fluids, or tissues.