What are the responsibilities and job description for the Patient Services Representative position at Lower Elwha Klallam Tribe?
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.
- Operates tribal vehicle(s) to transport LEKT patients to health-related appointments.
- Communicate access and/or loading problems to supervisor.
- Maintain passenger and vehicle usage records.
- Keep vehicle interior clean. Report any vehicle maintenance concerns to supervisor.
- Submit incident/accident report to supervisor or designee within 24 hours.
- Responsible for keeping updated on all transportation policies and procedures.
- Must get prior authorization from supervisor or designee to transport passengers.
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:
- Must have current Washington State driver license and an insurable driver’s record.
- Must have clean driving and criminal record of at least three years.
- Pass a background check and meet requirements.
- Pass a Driver Abstract Report
- Good knowledge of the safe operations of vehicles and the Washington State Motor Vehicle Laws.
- 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.
- Must be alert, attentive and focus when operating a vehicle.
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.