Patient Access Specialist I | Admissions
- No experience required
- Daily pay
How this pay compares
This posting states $17.27–$19.85 an hour. Open patient access representative jobs in South Dakota post a median of $19.63 an hour, the middle half $19.63, across 39 jobs that state their pay, so this one is below the middle half of what they post. Patient access representatives employed in South Dakota earn a median of $21.12 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).
Patient access representatives in South Dakota: pay by town and employer
Workplace injuries
MH Rapid City Hospital in Rapid City reported 132 work injuries and illnesses to OSHA for 2025 over 4,166,155 hours worked: 6.3 per 100 full-time workers, against 5.0 per 100 full-time workers at hospitals, general medical and surgicalnationwide. This is the employer's own report. Workplace injuries by employer.
Medicare rating of Monument Health Rapid City Hospital
Medicare gives Monument Health Rapid City Hospital 3 of 5 stars (Jul 2026; South Dakota's hospitals average 3.8). 71% of its patients said their nurses always communicated well (the middle US hospital: 79%). Patients' ratings of their care, not employees' of the job. Its other hospitals · South Dakota hospitals by rating.
Patient access, front desk and medical coding jobs in our research
- How long these jobs stay listed: Median days to removal 14.0 days · Still listed at 7 days 66.2%
- Applicant demand per open job on this site (1.00x is the average job): Index 4.76x · Clicks 223
- How often these jobs state their pay: Jobs stating any pay 50.0% · Stating an hourly rate 44.8%
From every open job we read and every apply click on this site, as of 9 Nov 2026. Every figure for Patient access, front desk and medical coding jobs
About the job
Current Employees:
If you are a current Monument Health 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
MHOSH Admissions Services
Scheduled Weekly Hours
40
Starting Pay Rate Range
$17.27 - $19.85
(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
*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
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.
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
70 Monument Health Orthopedic and Specialty Hospital
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.
From Monument Health's job posting, checked 9 Nov 2026. The employer's own page is the final word on requirements and availability.
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About Monument Health
Monument Health is an integrated health system in western South Dakota and eastern Wyoming with five hospitals, more than 60 (source: Monument Health, About Us) outpatient locations and more than 6,300 (source: Monument Health, About Us) physicians and caregivers. Source: Monument Health, About Us
Based in Rapid City, SDHires in South Dakota, WyomingPay on its listings: 89.9% of its open jobs state an hourly rate
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