Patient Access Specialist I | Clinic | Liberty Plaza

Job Summary

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.

Essential Job Functions

• Accurately collect demographics, confirm patient identity, assign guarantors, and verify coverage information and documentation from patients or informants, including obtaining necessary documents for check-in or admission among various patient settings, utilizing various communication methods (phone, letters, face-to-face, bedside).
• Achieve the strategic objectives of Monument Health by following Revenue Cycle guidelines, participating in quality assurance and improvement activities, demonstrating knowledge of payer information and benefits, including Medicare, Medicaid, and commercial payers as well as third-party liability payers.
• Perform point-of-service collections, including prepayments, outstanding balances, co-payments, and co-insurances; daily reconcile cash drawers.
• Provide patients with basic account reconciliation, initiate financial clearance by providing cost estimates for scheduled services, properly escalate financial clearance needs on behalf of the patient, review and understand authorization and referral records to confirm financial clearance, educate patients and maintain 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.
• Perform business office duties including incoming phone calls and messages, in-basket messaging, patient communications, intra-departmental communications, scanning/faxing, taxi vouchers, mail distribution, lost and found, safe and valuables, and other duties as assigned.
• Provide service excellence including way-finding, reception, interact with customers in a friendly and caring way, being attentive to both emotional and physical needs, take 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, manage and monitor patient wait lists and recall lists appropriately, maintain registration related work queues including ongoing resolution of errors.
• Maintain working knowledge of the electronic medical record: advanced directives, release of information, patient portal proxy forms, educate patients 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, assist clinical care team as needed including providing transport in cooperation with clinical team direction, attend all mandatory education, compliance, and safety program sessions, comply with all current and future policies and procedures and report directly to the supervisor.

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

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

Job Category

Revenue Cycle

Job Family

Registration and Scheduling

Shift

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

Employee Type

Regular 10

Employer

Rapid City Hospital, Inc.