Job Category: Revenue Cycle

Current Employees:

If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Primary Work Location

Monument Health Rapid City Hospital

Department

RCH Admissions Services

Scheduled Weekly Hours

40

Job Summary

Assists Market Director in the management and support of multiple Admissions Services teams. Daily management includes support of all human resource policy and processes, caregiver and patient flow/volume management, evaluation and improvement of key performance indicators, supports intradepartmental process/improvements, and addresses escalated investigation for complex billing/registration work queues. Additionally, the Supervisor supports the Director in planning and cascading organizational strategic goals. The Supervisor is fluent in Admissions Services processes including ambulatory scheduling and template management, staying current on payor requirements for referrals and prior authorization per given service line, financial clearance processes, registration, and identification of appropriate insurance filing order. Knowledgeable in revenue cycle management processes related to single billing office (e.g. claims processing, electronic medical record workflows, and financial clearance standards) for denial prevention and management related to authorization and eligibility. The Supervisor provides instruction and training for caregivers in assigned area. The Admissions Services Supervisor also serves in rotational 24 hour, weekly on-call status to support inpatient and emergency department operational escalations, providing real-time problem solving and solutions.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

Essential Functions:

• The Supervisor serves as subject matter expert for Admissions Services scoped processes to include: ambulatory scheduling and template management, financial clearance to include pre-registration, insurance verification, assessment of benefits and eligibility, needs for referral/prior authorization/pre-certification, point of service collections and financial wellness conversations; point of service needs to include patient arrival, identification, registration, and serve as a resource for escalation for customer complaints; financial counseling services to include fund finding options and a thorough understanding of financial assistance policy.
• Responsible for holistic revenue cycle management and single billing office knowledge to address authorization and eligibility denials and denial prevention to support a clean claim process.
• Knowledgeable in regulatory policy (e.g. The Joint Commission, Centers for Medicare and Medicaid Services).
• Acts as a liaison between physicians, hospital clinics, nursing personnel, residents, etc. to optimize admission and check-in processes.
• Communicates efficiently and effectively with team, colleagues, and leaders. Understands and administers all system level and human resource policy and departmental guidelines including hiring/firing/disciplinary processes.
• Assists Director in management of multiple team sites located at multiple facilities. Works in conjunction with the Director to deliver seamless process with ambulatory and acute patient care service lines.
• Appropriately matches a productivity model and caregiver scheduling to predicted patient volume/organizational need. Utilizes Lean methodology and Revenue Cycle Guidelines to address process improvement as well as tracking initiative effectiveness.
• Assists the Director in moving department towards the organizational strategic plan and goals. Facilitates improvement plans to meet/exceed established key performance indicators.
• All other duties as assigned.

Additional Requirements

Required:

Education – High School Diploma/GED Equivalent in General Studies

Certification – Certified Healthcare Access Associate (CHAA) – National Association Healthcare Access Management (NAHAM) or Certified Healthcare Access Management(CHAM) – National Association Healthcare Access Management (NAHAM) within one year of hire.

Preferred:

Education – Associate degree in Business, Healthcare, or related field
Experience – 3+ years of Healthcare Experience; 3+ years of Supervisor Experience; 1+ years of Supervisory 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 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. Requires the ability to work designated shift lengths (including 8 and 12 hours), which may include night shifts or occasional irregular hours.

Job Category

Revenue Cycle

Job Family

Registration and Scheduling

Shift

Employee Type

Regular

10 Monument Health Rapid City Hospital, Inc.

Make a difference.  Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Current Employees:

If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Primary Location

Rapid City, SD USA

Department

Scheduled Weekly Hours

40

Starting Pay Rate Range

$16.40 – $20.50

(Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

The Patient Financial Advocate I is responsible for serving as the point of contact for all functions and workflows within Revenue Cycle Pre-Arrival financial management. Through conducting of a variety of tasks such as creation of price estimates, counseling patients regarding insurance coverage and benefits, arranging payment plans, assessing referrals for care, handling billing issues with third party payers, and assistance with determining eligibility for resources to assist with management of out of pocket responsibilities, this caregiver assists the patients and families with the navigation of the patient financial journey.

The Patient Financial Advocate I is responsible for providing patients and families with a seamless financial experience by helping with the navigation and understanding of medical insurance benefits and potential financial responsibilities. This position requires the ability to plan, schedule and organize numerous tasks that directly impact the financial health of both the patient and the organization. This caregiver works collaboratively with key stakeholders across Monument Health to achieve a positive experience that promotes financial health as a key contributor to overall wellness.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

Essential Functions:

• Performs and completes the workflows of Pre-Arrival patient financial management functions within Revenue Cycle which may include but are not limited to: Financial Clearance (Pre-Registration, Pre-Arrival Insurance Benefit Management, and Authorization/Referral/Benefit Review); Patient Admission and Registration Support (Inpatient, Outpatient, ED Registration, Insurance verification); Financial Counseling (Price Estimations, Payment Planning and Arrangement, Fund Finding and Resource eligibility, Charity Care Review); Customer Service (Patient collections, Customer service follow-up, Third Party Insurance Follow up, Patient balance resolution).
• Ensures the Pre-Arrival patient financial management and related financial clearance process is completed timely and accurately per policy and standard work processes and guidelines.
• Communicate in person and over the phone with all Monument Health patients and families across the organization despite service or specialty need to identify and understand financial, social, and medical requisites necessary to facilitate the Pre-Arrival patient financial management functions and workflows.
• Gather all relevant information required to process and timely complete financial assistance requests, verifies that all new patient forms are complete and signed, maintains complete and accurate documentation of account transactions and conversations.
• Works collaboratively with patient and internal and external customers of Monument Health to identify long term resources for funding of healthcare related services in getting applications promptly completed and approved.
• Counsels patients on all out of pocket liabilities including pre and post service balances.
• Creates accurate cost of care price estimations and distributes timely according to regulatory requirements and Monument Health policy and standard work expectations.
• Calculates and collects patient financial liability including preservice deposits, co-payments, coinsurance, and deductible.
• Establishes appropriate payment arrangements before and at the time of visit. Accepts payment and generates receipts.
• Communicates financial clearance status and applicable financial decisions with all appropriate parties including the patient, family, referring clinicians, Monument Health clinicians, and appropriate operational leadership. • Demonstrates application of follow up processes necessary to ensure prompt, appropriate reimbursement of services and supplies billed to third parties and appropriate payment of services and supplies due from patients
• Ensures quality services in self-pay collections is given in accordance to applicable policies, procedures and guidelines. Recognizes accounts that are repeatedly delinquent or otherwise in the absence of acceptable payment terms and regularly recommends placement of account for further collection activity, including legal action, as evidenced by documentation, observation and feedback.
• Practices safe and secure cash handling practices per Monument Health policy and standard practice guidelines assuring all physical safeguards and other internal controls are maintained.
• Demonstrates a clear understanding of core business structures, systems, best practices, trends, and technologies within the industry.
• Understands system and business practice concepts and work approaches used to systematically pursue ever-higher levels of performance. Understands or demonstrates understanding of strategic planning, research, and development and analysis processes Further understands or demonstrates understanding that high-performance work approaches are necessary to align the organization's efforts, as evidenced by improved customer relations' focus, quality initiatives, financial performance, and operational performance.
• Communicates effectively the pertinent information regarding the financial clearance processes and reimbursement activities with all Monument Health internal and external customers to promote a positive work environment.
• Actively participates in seeking and developing other educational and skillset opportunities to assist with ongoing personal growth and development and career goals.
• All other duties as assigned.

Additional Requirements

Required:
Education – High School Diploma/GED Equivalent in General Studies

Preferred:
Experience – 1+ years of HealthCare Administration or Operations Experience; 1+ years Billing/Collections Experience

Physical Requirements:
Sedentary work – Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.

Job Category

Revenue Cycle

Job Family

Patient Financial Counseling

Make a difference.  Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Current Employees:

If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Primary Location

Rapid City, SD USA

Department

MHUC-RC Lacrosse St. Clinic Management

Scheduled Weekly Hours

40

Starting Pay Rate Range

$16.95 – $19.48

(Determined by the knowledge, skills, and experience of the applicant.)

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.

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. If you share this philosophy, we hope you’ll join us.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

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.
• In order to provide the highest quality of care to our patients, individuals may be required to work beyond normal scheduled shifts and will be required to 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.
• Responsible for attending all mandatory education, compliance and safety program sessions.
• Required to comply with all current and future policies and procedures and report directly to the supervisor.
• All other duties as assigned.

Additional Requirements

Preferred:

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

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. Requires the ability to work designated shift lengths (including 8 and 12 hours), which may include night shifts or occasional irregular hours.

Job Category

Revenue Cycle

Job Family

Registration and Scheduling

Shift

Employee Type

Regular

10 Monument Health Rapid City Hospital, Inc.

Make a difference.  Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Current Employees:

If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Primary Location

Rapid City, SD USA

Department

MHHVI Cardiac Services

Scheduled Weekly Hours

40

Starting Pay Rate Range

$16.95 – $19.48

(Determined by the knowledge, skills, and experience of the applicant.)

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.

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. If you share this philosophy, we hope you’ll join us.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

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.
• In order to provide the highest quality of care to our patients, individuals may be required to work beyond normal scheduled shifts and will be required to 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.
• Responsible for attending all mandatory education, compliance and safety program sessions.
• Required to comply with all current and future policies and procedures and report directly to the supervisor.
• All other duties as assigned.

Additional Requirements

Preferred:

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

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. Requires the ability to work designated shift lengths (including 8 and 12 hours), which may include night shifts or occasional irregular hours.

Job Category

Revenue Cycle

Job Family

Registration and Scheduling

Shift

Employee Type

Regular

10 Monument Health Rapid City Hospital, Inc.

Make a difference.  Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Current Employees:

If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Primary Location

Rapid City, SD USA

Department

CS Managed Care

Scheduled Weekly Hours

0

Starting Pay Rate Range

$16.40 – $20.50

(Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

Ensures the proper interpretation, processing, recording, approval and payment of client billing services. Accurately reviews information for processing charges and payments into a computerized system in accordance with the billing and collection guidelines. Responsible for the review and analysis of outstanding account balances for all Client services. Telephones/contacts debtors to accelerate payment of outstanding accounts. Conducts a variety of tasks related to accelerate payment of outstanding Client balances. Attempts to anticipate any and all problems relating to payment of client accounts and attempts to solve these problems.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

Essential Functions:

• Conducts timely follow up of client accounts as needed.
• Demonstrates the ability to recognize problem situations in the reimbursement process and initiate an appropriate response as evidenced by documentation and feedback.
• Maintains individual production and audit reports.
• Processes charges/claims in a timely manner according to internal departmental standards and meets any production standards that are in place.
• Responsible for accurate, timely billing of client billing in accordance with established guidelines and compliance regulations.
• Responsible for personal organization of activities and adherence to personnel policies and procedures.
• Assists in processing new and reappointment applications including but not limited to board certifications, all state licenses, databanks, federations, credentials verification, exclusion checks, etc.
• Reviews, analyzes, and assures the completion of information required for initial appointment and recredentialing/reappointment. Follows legal, state and federal agencies, state licensing board, the Joint Commission (TJC), NCQA, and Risk Management guidelines and/or regulations to assure that the application is complete and ready for review by Board of Directors.
• Responsible for accurate, timely filing of claims in accordance with established guidelines and compliance regulations.
• Responsible to ensure quality services in claim submission is given in accordance to applicable policies, procedures and guidelines.
• All other duties as assigned.

Additional Requirements

Required:
Education – High School Diploma/GED Equivalent in General Studies

Preferred:
Experience – 5+ years of Billing/Collections Experience

Physical Requirements:
Sedentary work – Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.

Job Category

Revenue Cycle

Job Family

Patient Financial Services

Shift

Employee Type

PRN

15 Corporate Services Division

Make a difference.  Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Current Employees:

If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Primary Location

Rapid City, SD USA

Department

CS Managed Care

Scheduled Weekly Hours

40

Starting Pay Rate Range

$16.40 – $20.50

(Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

Ensures the proper interpretation, processing, recording, approval and payment of client billing services. Accurately reviews information for processing charges and payments into a computerized system in accordance with the billing and collection guidelines. Responsible for the review and analysis of outstanding account balances for all Client services. Telephones/contacts debtors to accelerate payment of outstanding accounts. Conducts a variety of tasks related to accelerate payment of outstanding Client balances. Attempts to anticipate any and all problems relating to payment of client accounts and attempts to solve these problems.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

Essential Functions:

• Conducts timely follow up of client accounts as needed.
• Demonstrates the ability to recognize problem situations in the reimbursement process and initiate an appropriate response as evidenced by documentation and feedback.
• Maintains individual production and audit reports.
• Processes charges/claims in a timely manner according to internal departmental standards and meets any production standards that are in place.
• Responsible for accurate, timely billing of client billing in accordance with established guidelines and compliance regulations.
• Responsible for personal organization of activities and adherence to personnel policies and procedures.
• Assists in processing new and reappointment applications including but not limited to board certifications, all state licenses, databanks, federations, credentials verification, exclusion checks, etc.
• Reviews, analyzes, and assures the completion of information required for initial appointment and recredentialing/reappointment. Follows legal, state and federal agencies, state licensing board, the Joint Commission (TJC), NCQA, and Risk Management guidelines and/or regulations to assure that the application is complete and ready for review by Board of Directors.
• Responsible for accurate, timely filing of claims in accordance with established guidelines and compliance regulations.
• Responsible to ensure quality services in claim submission is given in accordance to applicable policies, procedures and guidelines.
• All other duties as assigned.

Additional Requirements

Required:
Education – High School Diploma/GED Equivalent in General Studies

Preferred:
Experience – 5+ years of Billing/Collections Experience

Physical Requirements:
Sedentary work – Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.

Job Category

Revenue Cycle

Job Family

Patient Financial Services

Shift

Employee Type

Regular

15 Corporate Services Division

Make a difference.  Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Current Employees:

If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Primary Location

Rapid City, SD USA

Department

CS Managed Care

Scheduled Weekly Hours

0

Starting Pay Rate Range

$16.40 – $20.50

(Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

Ensures the proper interpretation, processing, recording, approval and payment of client billing services. Accurately reviews information for processing charges and payments into a computerized system in accordance with the billing and collection guidelines. Responsible for the review and analysis of outstanding account balances for all Client services. Telephones/contacts debtors to accelerate payment of outstanding accounts. Conducts a variety of tasks related to accelerate payment of outstanding Client balances. Attempts to anticipate any and all problems relating to payment of client accounts and attempts to solve these problems.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

Essential Functions:

• Conducts timely follow up of client accounts as needed.
• Demonstrates the ability to recognize problem situations in the reimbursement process and initiate an appropriate response as evidenced by documentation and feedback.
• Maintains individual production and audit reports.
• Processes charges/claims in a timely manner according to internal departmental standards and meets any production standards that are in place.
• Responsible for accurate, timely billing of client billing in accordance with established guidelines and compliance regulations.
• Responsible for personal organization of activities and adherence to personnel policies and procedures.
• Assists in processing new and reappointment applications including but not limited to board certifications, all state licenses, databanks, federations, credentials verification, exclusion checks, etc.
• Reviews, analyzes, and assures the completion of information required for initial appointment and recredentialing/reappointment. Follows legal, state and federal agencies, state licensing board, the Joint Commission (TJC), NCQA, and Risk Management guidelines and/or regulations to assure that the application is complete and ready for review by Board of Directors.
• Responsible for accurate, timely filing of claims in accordance with established guidelines and compliance regulations.
• Responsible to ensure quality services in claim submission is given in accordance to applicable policies, procedures and guidelines.
• All other duties as assigned.

Additional Requirements

Required:
Education – High School Diploma/GED Equivalent in General Studies

Preferred:
Experience – 5+ years of Billing/Collections Experience

Physical Requirements:
Sedentary work – Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.

Job Category

Revenue Cycle

Job Family

Patient Financial Services

Shift

Employee Type

PRN

15 Corporate Services Division

Make a difference.  Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Current Employees:

If you are a current employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Primary Location

Rapid City, SD USA

Department

MHMC-RC Flormann St. Clinic Management

Scheduled Weekly Hours

0

Starting Pay Rate Range

$16.95 – $19.48

(Determined by the knowledge, skills, and experience of the applicant.)

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.

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. If you share this philosophy, we hope you’ll join us.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends)

*Flexible scheduling

Job Description

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.
• In order to provide the highest quality of care to our patients, individuals may be required to work beyond normal scheduled shifts and will be required to 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.
• Responsible for attending all mandatory education, compliance and safety program sessions.
• Required to comply with all current and future policies and procedures and report directly to the supervisor.
• All other duties as assigned.

Additional Requirements

Preferred:

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

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. Requires the ability to work designated shift lengths (including 8 and 12 hours), which may include night shifts or occasional irregular hours.

Job Category

Revenue Cycle

Job Family

Registration and Scheduling

Shift

Employee Type

PRN

10 Monument Health Rapid City Hospital, Inc.

Make a difference.  Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.