Patient Services Representative

About the role

The incumbent is responsible for providing registration and eligibility services, scheduling, rescheduling, and maintaining the clinic schedule of their assigned area. This position uses the patient schedule system to check-in scheduled and un-scheduled visits within the Oyate Health Center (OHC).

Responsibilities

• Answers telephone and greet visitors; provides information and assistance; and resolves problems.
• Gathers patient demographic information, updates patient information, and registers patients in the electronic system; determines eligibility for services; and obtains documentation of Indian blood or other documentation of Tribal membership.
• Obtains and verifies the health records and RPMS/BPRM Patient Registration information including Medicaid, Medicare, private/commercial insurance eligibility prior to clinic visits.
• Interviews patient to gather information to determine if a new health record needs to be established or if a health record needs to be reactivated.
• Affords assistance in completing new or updating forms for the RPMS/BPRM Patient Registration System.
• Prepares documents and obtains patient’s and/or guardian’s signature on required forms as needed, either scans documents or routes documents to others appropriately.
• Maintains, key-enters, updates, and verifies all Alternate Resources data necessary for patient registration and for accurate billing and make corrections necessary to improve the Patient Registration System.
• Affords assistance with orientation of new personnel and provides orientation and training specific to front desk processes as needed.
• Works in coordination with Benefits Coordinators to establish patient eligibility for the Marketplace Program, and Medicaid applications.
• Completes necessary tracking forms and turn in weekly or as requested.
• Provides reports in accordance with the established schedule and format as requested.
• Maintains adequate supply of required forms/documents.
• Participates in performance improvement teams and other committees as assigned.
• Must comply with federal laws and regulations as required by the Health Insurance Portability and Accountability Act (HIPAA).
• Performs the core responsibilities of the position accurately, timely, and in accordance with established standards.
• Maintains regular and reliable attendance consistent with the position’s schedule and operational needs.
• Communicates effectively with internal and external stakeholders as required by the role.
• Adheres to all applicable policies, procedures, and regulatory requirements.
• Utilizes required systems, tools, and technology necessary to perform the job.
• Completes assigned portions of multiple reports accurately and on time.
• Schedules appointments and follow up appointments.
• Supports the process of MVO transportation by submitting ride requests and/or cancellations when needed.

Requirements

• High school diploma or equivalent.
• One (1) year of administrative office support experience sufficient to understand the major duties of the position, and to be able to answer questions and resolve problems.
• Experience in a healthcare setting is preferred.

Qualifications

• Successfully passed a criminal and background check.
• Pre-employment drug screen.

Skills

• Complies with federal laws and regulations as required by the Health Insurance Portability and Accountability Act (HIPAA).
• Uses required systems, tools, and technology necessary to perform the job.
• Completes assigned portions of multiple reports accurately and on time.
• Schedules appointments and follow up appointments.
• Supports the process of MVO transportation by submitting ride requests and/or cancellations when needed.

Benefits

N/A

Pay

N/A

Schedule

Oyate Health Center is open from 7:00 AM to 7:00 PM. Monday - Sundays, including most Holidays. We have shifts to cover these hours/days.