Patient Services Representative
About The Position
The Patient Services Representative provides patient registration and eligibility services, collecting and processing demographic and insurance information for alternate resources, Purchased Referred Care services, the Marketplace Sponsorship Program, and private or commercial insurance. The representative schedules, reschedules, and maintains the clinic schedule for an assigned area and uses the patient scheduling system to check in scheduled and unscheduled visits at Oyate Health Center. The position works on a rotating basis. The role also supports front-desk operations, patient documentation, eligibility and insurance verification, reporting, and coordination with Benefits Coordinators and other stakeholders. The representative must perform duties accurately and on time, follow organizational policies and regulatory requirements, maintain reliable attendance, and comply with HIPAA and employee health requirements. The work is primarily sedentary in an indoor office setting, with occasional movement, lifting, and travel within organizational facilities.
Requirements
- High school diploma or equivalent.
- At least one year of administrative office support experience sufficient to understand the major duties of the position and answer questions and resolve problems.
- Successfully pass a criminal and background check and a pre-employment drug screen.
- Agree to comply with job-related employee health screening and immunization requirements before the first day of employment; documentation is required for MMR, Varicella, Hepatitis B, Influenza, and T-dap immunizations, and COVID-19 vaccination is required.
- Ability to perform the essential functions of the job, with or without reasonable accommodation.
- Ability to sit for extended periods and regularly use standard office equipment, including a computer, keyboard, telephone, and copier.
- Ability to occasionally stand, walk, bend, reach, and lift or carry office materials or supplies weighing up to 25 pounds.
- Manual dexterity and visual acuity for computer use and document review; ability to read, write, speak, and hear.
- Comply with organizational policies, procedures, applicable laws and regulations, and employee health requirements.
Nice To Haves
- Experience in a healthcare setting is preferred.
Responsibilities
- Answer telephone calls, greet visitors, provide information and assistance, and resolve problems.
- Collect and update patient demographic information and register patients in the electronic system; determine eligibility for services and obtain documentation of Indian blood or other proof of Tribal membership.
- Obtain and verify health records and RPMS/BPRM Patient Registration information, including Medicaid, Medicare, and private or commercial insurance eligibility, before clinic visits.
- Interview patients to determine whether a new health record must be established or an existing record reactivated.
- Assist patients with completing or updating RPMS/BPRM Patient Registration forms.
- Prepare documents and obtain patient or guardian signatures on required forms; scan or route documents as appropriate.
- Prepare, complete, and file minor consent forms in patient medical charts and scan them into Vista.
- Maintain, enter, update, and verify Alternate Resources data needed for patient registration and accurate billing, and make corrections to improve the Patient Registration System.
- Assist with orientation and training for new personnel on front-desk processes as needed.
- Coordinate with Benefits Coordinators to establish patient eligibility for the Marketplace Program and Medicaid applications; complete required tracking forms and submit them weekly or as requested.
- Provide reports in the established schedule and format as requested.
- Maintain adequate supplies of required forms and documents.
- Participate in performance-improvement teams and other committees as assigned.
- Comply with HIPAA and other applicable laws, policies, procedures, and regulatory requirements.
- Perform core duties accurately, promptly, and according to established standards; maintain regular and reliable attendance and communicate effectively with internal and external stakeholders.
- Use required systems, tools, and technology; complete assigned portions of multiple reports accurately and on time.
- Schedule appointments and follow-up appointments when necessary.
- Support MVO transportation by submitting ride requests or cancellations when needed.
- Perform related duties.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
