Lead Patient Relations Rep

Oklahoma City Indian Clinic•Oklahoma City, OK

5d•Onsite

About The Position

Oklahoma City Indian Clinic (OKCIC) is a non profit corporation that provides culturally sensitive health care to the American Indian population. OKCIC services not only include basic medical care, but also dental, optometry, behavioral health services, fitness, nutrition and other family programs. Our mission is to provide excellent healthcare to American Indians. We do this by putting people first, providing quality services, and maintaining our Integrity and Professionalism. We are looking to add compassionate team players to our growing team as we continue to work toward our goal of becoming the national model for American Indian Health Care. Oklahoma City Indian Clinic is hiring a Lead Patient Relations Representative (PRR) to our Registration Team! The Lead PRR would be responsible for maintaining an accurate and current database in the patient registration graphical user interface and electronic health record by subsequent updates of patient demographic and third party data. The Lead PRR provides operations direction to registration staff members regarding daily functions and activities.This position provides training to new registration staff. Applicants claiming Indian Preference must complete the full application and must provide documentation verifying eligibility (such as a tribal enrollment card or Certificate of Degree of Indian Blood (CDIB)

Requirements

Must align with OKCIC vision, mission and core values
High school diploma or GED
2 years+ related medical office experience
Computer experience

Nice To Haves

Knowledge of RPMS-EHR preferred

Responsibilities

Provide conflict resolution between patients and registration staff, and act as a liaison for the Director of Patient Resource Services.
Serve as a facility Personal Health Record (PHR) Registrar for the RPMS Network web portal. Duties include processing PHR applications by matching and linking PHR accounts with IHS/Tribal/Urban health records; Updating / changing PHR user passwords; Updating / unlinking PHR patient access; Reviewing PHR materials with patient and providing instructions on how to access the PHR web portal.
Greet patients as they present to the registration area; obtain registration information, including demographics and third party coverage information.
Explain billing and payment processes to patient and family members.
Assist patients with completion of new and annual renewal forms required to access services. Explain each document and obtain signatures. Forms include Service Agreement; Consent to Treat Minor Child; Notice of Privacy Practices; Assignment of Benefits; Advance Directive; Broken Appointment Policy; and Medicare Secondary Payer (MSP) forms.
Determine eligibility status for new patients by obtaining the Certificate of Indian Blood (CDIB) or other documentary proof of tribal membership.
Distribute current Notice of Privacy Practices and Patient Information brochures regarding Patients Rights and Responsibilities, Advance Directive, Patients Grievance Procedures, etc.
Verify Medicaid eligibility via online Oklahoma Health Care Authority (OHCA) eligibility verification system on the date of service, using the patients Social Security and/or Medicaid information; update Medicaid status in RPMS system including termination date.
Verify Medicare and private insurance eligibility through designated website resources to determine if insurance is active or terminated.
Screen patients for Health Insurance Marketplace eligibility and refer eligible individuals/families to a Benefits Coordinator for further assistance.
Determine eligibility for Oklahoma Medicaid programs (SoonerCare, SoonerPlan, Insure Oklahoma, etc.) and assist with application process.Refer potential eligible individuals to a Benefits Coordinator for further assistance.
Scan administrative document types into the patient record using the VistA Imaging Capture client according to quality assurance standards. Documents include registration forms, insurance cards, Medicare cards, drivers licenses, CDIB cards, tribal membership cards, eligibility documents, birth certificates, death certificates, and pertinent court documents such as guardianship, divorce decrees, marriage licenses, etc.
Assist with managing all new patient charts and scheduling new patient appointments.
Order and maintain supply inventory
Assist with timesheets for staff and ensuring coverage for all areas
Conduct standardized training for new departmental employees