Patient Services Representative

Great Plains Tribal Leaders Health•Rapid City, SD

9d•Onsite

About The Position

The Patient Services Representative provides registration and eligibility services to obtain and process demographic and insurance information for alternate resources, Purchased Referred Care services, the Marketplace Sponsorship Program, and private or commercial insurance. The representative schedules and reschedules appointments and maintains the clinic schedule for an assigned area. Using the patient scheduling system, the representative checks in scheduled and unscheduled visits at Oyate Health Center. The position works on a rotating basis. The role includes serving as a front-desk contact for patients and visitors, maintaining accurate patient registration and alternate-resource information, verifying coverage and eligibility, and supporting appointments, reports, forms, and transportation requests. The representative also assists with onboarding and front-desk training, coordinates with Benefits Coordinators, participates in improvement activities, and complies with HIPAA and other applicable policies and requirements. This position is primarily performed in an indoor office or administrative setting. It is primarily sedentary and requires extended sitting and regular use of standard office equipment. Occasional standing, walking, bending, reaching, lifting and carrying supplies up to 25 pounds, and travel within organizational facilities may be required. Employment is contingent on required criminal background checks and a pre-employment drug screen, and compliance with employee health screening and immunization requirements. The position is subject to Native Preference and requires the ability to perform essential functions with or without reasonable accommodation.

Requirements

High school diploma or equivalent.
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 background check and pre-employment drug screen.
Comply with job-related employee health screening and immunization requirements before the first day of employment, including MMR, Varicella, Hepatitis B, Influenza, T-dap, and COVID-19 vaccination.
Ability to perform the essential functions of the job, with or without reasonable accommodation.
Ability to sit for extended periods and regularly use a computer, keyboard, telephone, and copier.
Ability to occasionally stand, walk, bend, reach, and lift or carry office materials or supplies 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, and applicable laws and regulations.

Nice To Haves

Experience in a healthcare setting is preferred.

Responsibilities

Answer telephone calls, greet visitors, provide information and assistance, and resolve problems.
Gather and update patient demographic information and register patients in the electronic system.
Determine eligibility for services and obtain documentation of Indian blood or other documentation 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 should be established or an existing record reactivated.
Assist patients with completing new or updated RPMS/BPRM Patient Registration forms.
Prepare documents and obtain patient or guardian signatures on required forms; scan or route documents appropriately.
Prepare, complete, and file minor consent forms in patient medical charts and scan them into Vista.
Maintain, key-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 provide training on front-desk processes to new personnel 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 according to established schedules and formats as requested.
Maintain adequate supplies of required forms and documents.
Participate in performance improvement teams and other assigned committees.
Comply with HIPAA and applicable policies, procedures, laws, regulations, and established performance standards.
Complete assigned portions of multiple reports accurately and on time.
Schedule appointments and follow-up appointments when necessary.
Submit or cancel MVO transportation ride requests when needed.
Maintain regular and reliable attendance and communicate effectively with internal and external stakeholders.
Use required systems, tools, and technology to perform the job.
Perform related duties.