Patient Services Representative - Clinic

OVERVIEW: Provides support with the daily activities of a medical office including filing, telephone coverage, appointment scheduling, registration, and patient eligibility by performing the following duties.

ESSENTIAL FUNCTION OF JOB:

• Routinely demonstrates superior customer service skills.
• Transfer calls to physicians and nurses when medically indicated.
• Accurately takes messages and conveys information to the recipient.
• Obtains current patient information from established and new patients.
• Schedules appointments and re-schedules appointments as needed
• Scans information into EHR
• Categorizes, dates, and labels loose medical documents.
• Scans loose medical documents per protocol.
• Accurately enters/updates patient information in the practice management system.
• Assists patient with completing paperwork when necessary.
• Identifies payer source, verifies insurance eligibility, verifies financial status and assigns correct pay type.
• Notes patient arrival in EHR.
• Accurately pre-screens medical/dental records.
• Prints schedules for upcoming appointments.
• Verifies insurance eligibility and obtains authorization for dates of service.
• Reviews Practice Management System for needed updated demographics and consent forms.
• Attaches needed updated demographics and consent for to schedule.
• Identifies patients by date of birth and name in RPMS, BMW scheduler or EHR.
• Sends letters to No Show appointments and notes is appropriately in the scheduler.
• Accurately imports registration documents into patient's electronic health record.
• Performs prescreening process for add-on appointments.
• Answers telephone in a timely and polite manner, preferably within three rings.
• Communicates with customers in a courteous, professional, cooperative and mature manner.
• Recognizes and responds appropriately to violent/abusive situations, bomb threats, and emergency situations.
• Protects/observes patient confidentiality per policies and procedures, CFR 42 part 2, and all pertinent HIPAA requirements.

DESIRED QUALIFICATIONS:

• Education/Training Level
• High School Diploma or equivalent.
• Medical Office experience preferred.
• Communication Skills
• Ability to effectively interact with physicians, patients and other staff members.
• Ability to effectively read, write and type clear message electronically and verbally.
• Technology Skills
• Demonstrates knowledge of proper, safe, efficient usage of current office equipment and software.

OTHER DESIRED QUALIFICATIONS:

• Experiences working with Native American and other diverse communities
• Experiences with working with RPMS, Electronic Health Records or equivalent data based systems.

PHYSICAL REQUIREMENTS:

• Duties are performed in a generally comfortable environment.
• Prolonged standing or sitting may be involved.
• Lifting at least 25 lbs.
• Bending, squatting, stooping, reaching also involved.

WORKING CONDITIONS:

• Job duties are routine in nature, but situation may vary occasionally; policy and procedure provide direction for solving non-routine situation. Employee is expected to consult with management for any situation for which precedent does not exist.
• Job duties involve routine interaction with others, including providing assistance and limited direction. Contacts are generally, cordial and non-confrontational.
• May be required to perform the duties of other employees, including supervisors/managers, in their absence.
• May be required to perform duties and responsibilities not listed in this description, on a temporary or long-term basis.

As with all positions of the Lower Elwha Klallam Tribe this position is Indian Preference in hiring.