Patient Access Specialist | 5th St Clinic
$35,922–$41,288 year
On-siteRapid City, South Dakota, United States
Job Summary
Collect patient demographics, confirm identity, and verify coverage information while obtaining necessary documents for check-in or admission across various settings. Process point-of-service collections including prepayments, co-payments, and co-insurance, then reconcile the daily cash drawer and initiate financial clearance with cost estimates. Manage patient scheduling, check-out, and wait lists while resolving registration errors and maintaining electronic medical record work queues. Handle incoming calls, messages, and mail distribution, and provide way-finding and reception services to patients, families, and internal departments. Perform patient movement activities and arrange transportation as directed by the clinical team.
Required Qualifications
- High School Diploma/GED Equivalent
- Ability to work assigned schedules and hours as determined by the department
- 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
- Ability to work beyond normal scheduled shifts
- Compliance with Monument Health's Attendance Policy
- Compliance with all current and future policies and procedures
- Ability to obtain necessary documents for check-in or admission among various patient settings
- Utilization of various communication methods (i.e phone, letters, face-to-face, bedside)
- Demonstration of knowledge of payer information and benefits, including Medicare, Medicaid, and commercial payers as well as third party liability payers
- Ability to perform point of service collections including prepayments, outstanding balances, co-payment and co-insurance
- Daily reconciliation of cash drawer
- Initiation of financial clearance by providing patient with cost estimates for scheduled services
- Proper escalation of financial clearance needs on behalf of the patient
- Review and understanding of authorization and referral records to confirm financial clearance
- Distribution and/or obtaining of required forms and signatures including consents for treatment and financial agreements, ABN/waivers, and other regulatory forms
- Ability to educate patient on the patient basic purpose, and regulations
- Addressing and resolving or escalating account inquiries
- Patient scheduling and check-out
- Pre-arrival management for upcoming services per protocols within the supported department
- Managing and monitoring patient wait lists and recall lists
- Maintenance of 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
- Maintaining communication with the customer in order to provide a secure and pleasant experience throughout the system
- Obtaining referrals and order transcription, as applicable to service area
- Maintaining registration related work queues including ongoing resolution of errors
- Performing patient movement activities in the electronic medical record
- Arranging patient transportation and other enabling services
- Attending all mandatory education, compliance and safety program sessions
- Reporting directly to the supervisor
Desired Qualifications
- 1+ years Customer Service Experience
- 1+ years Patient Relations Experience
- 1+ years Medical Patient Accounts/Financial Services Experience
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