Patient Access Specialist I | Rapid City Hospital

Primary Location: Rapid City, SD USA | Department: RCH Admissions Services | Scheduled Weekly Hours: 40 | Job Category: Revenue Cycle | Job Family: Registration and Scheduling | Employee Type: Regular

About the role

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. 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

• Accurately collect demographics, confirm 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)
• Assist in achieving the strategic objectives of Monument Health by following Revenue Cycle guidelines, including participating in quality assurance and improvement activities
• Demonstrate 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-payment and co-insurance; daily reconciliation of cash drawer
• Provide patients with basic account reconciliation
• Initiate financial clearance by providing patient with 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 patient 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/faxes, taxi vouchers, mail distribution, lost and found, safe and valuables and other duties as assigned
• Provide service excellence including way-finding, reception; demonstrate the importance of satisfying the needs of the customer by interacting in a friendly and caring way, being attentive to both emotional and physical needs; take responsibility to maintain communication with the customer 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
• Maintain 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 inquiries, resolve or escalate inquiries as appropriate
• May be required to work beyond normal scheduled shifts to provide the highest quality of care; comply with Monument Health's Attendance Policy
• May perform patient movement activities in the electronic medical record
• May arrange patient transportation and other enabling services
• 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
• All other duties as assigned

Qualifications

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

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 seldomly to move objects
• Possible exposure to blood, bodily fluids, or tissues

Benefits

• Supportive work culture
• Medical, Vision and Dental Coverage
• Retirement Plans, Health Savings Account, and Flexible Spending Account
• Instant pay available for qualifying positions
• Paid Time Off Accrual Bank
• Opportunities for growth and advancement
• Tuition assistance/reimbursement
• Excellent pay differentials on qualifying positions
• Flexible scheduling

Pay

Starting Pay Rate Range: $17.27 - $19.85 per hour (determined by the knowledge, skills, and experience of the applicant)

Schedule

Full-time, 40 hours per week. Requires the ability to work assigned schedules and hours as determined by the department.