About The Position

The Patient Services Representative I (PSR I) provides front-line clerical and administrative support to patients and staff at the Nisqually Generations Healing Center. Reporting to the Office Manager, the PSR I supports daily front-office operations, including patient check-in and check-out, appointment scheduling, phone communications, filing, and document preparation. The role supports medical, dental, medication-assisted-treatment (MAT), substance use disorder (SUD), and behavioral health services. The position requires office administration, basic accounting and mathematics, and a compassionate understanding of how substance use affects individuals, families, and communities. The PSR I helps create a welcoming, organized, healing-centered environment; safeguards the confidentiality, security, and accuracy of records; and promotes positive employee, customer, and community relations. Strong written and verbal communication and excellent customer service are expected. Regular attendance is required. Later hours or weekend time may occasionally be needed to meet project deadlines, and a neat, well-groomed, professional appearance is essential. The position has regular contact with or control over Indian Children and Vulnerable Adults. Applicants must meet the stated criminal-history requirements, pass fingerprint and background checks, and pass a pre-employment drug screen. The position requires a valid Washington State driver's license and a driving record that meets the minimum requirements of the Nisqually Indian Tribes' vehicle insurance provider.

Requirements

  • High school diploma or GED equivalent.
  • At least 2 years of medical, clinical, or behavioral health office, EHR, and patient service experience in a fast-paced environment, or an appropriate combination of education and experience.
  • Valid Washington State driver's license and a driving record meeting the minimum requirements established by the Nisqually Indian Tribes' vehicle insurance provider.
  • Successfully pass a pre-employment drug screen and criminal background check.
  • Pass a State and National (FBI) criminal history background check before employment.
  • Ability to work with vulnerable populations, including adults and children.
  • Knowledge of HIPAA, protected health information, and applicable state (RCW, WAC) and federal confidentiality requirements, including 42 CFR Part 2.
  • Knowledge of clinic workflows and patient intake procedures in a healthcare setting.
  • Experience with Electronic Health Records (EHR) and basic office software.
  • Clear, courteous verbal and written communication skills and effective phone handling.
  • Ability to coordinate schedules and manage appointments across multiple departments.
  • Ability to perform data entry, filing, and accurate patient-record maintenance.
  • Empathy, professionalism, cultural sensitivity, and strong attention to detail.
  • Ability to multitask efficiently and work effectively with clinical and administrative staff across departments.
  • Ability to work in a computer-based environment, especially Microsoft Windows.
  • Ability to work in a cross-cultural environment and understand the social and cultural contexts of those served.
  • Ability to establish and maintain effective working relationships with patients, staff, and external agencies.
  • Meet the described physical demands, including frequently standing, walking, handling objects, reaching, stooping, crouching, working in cramped or awkward positions, and performing repetitive motions; may regularly lift or move 30+ pounds.
  • Required vision abilities include close vision, distance vision, depth perception, and the ability to adjust focus.
  • Maintain regular attendance and a neat, well-groomed professional appearance.

Nice To Haves

  • One year or more of related college coursework in business administration and/or office skills.
  • Knowledge of the Nisqually Indian Tribe's history, customs, and traditions, and ability to demonstrate cultural sensitivity.
  • Experience working with Federally Recognized Tribes.

Responsibilities

  • Welcome and assist patients and visitors, providing professional, empathetic customer service.
  • Facilitate patient check-in and check-out procedures.
  • Coordinate appointment scheduling across departments, balancing provider availability with patient needs.
  • Verify insurance coverage, update patient demographic information, and assist patients with insurance enrollment as applicable.
  • Answer phone calls, route messages, and respond to routine inquiries.
  • Prepare accurate, confidential records using Electronic Health Record (EHR) systems.
  • Support patients through intake and treatment with sensitivity and discretion.
  • Follow patient confidentiality procedures and comply with 42 CFR Part 2 and HIPAA.
  • Collaborate with clinical and administrative staff to support coordinated care.
  • Perform general office tasks, including filing, data entry, and document preparation.
  • Cross-train to assist staff with other duties as necessary.
  • Perform other duties as assigned.
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