Lead Receptionist/Purchased Referred Care Assistant

POSITION SUMMARY

The HHS Receptionist/Purchase Referred Care Assistant is directly responsible to the Business Office Manager. HHS Receptionist is responsible for maintaining the reception areas in a professional, courteous and efficient demeanor, one that protects the patient's rights to service in a confidential and private manner, following HIPAA guidelines. The PRC Assistant is responsible for initial screening of Tribal Member patients for payment to specialty providers while following the direction of regulatory authorities.

ESSENTIAL FUNCTIONS

1. Greetings to the public in a friendly, respectful manner. Address walk-ins and emergencies according to policies and procedures. Refer to all patient questions regarding medical/dental conditions and/or care to the clinical staff. 2. Answer telephone, screen and direct calls to appropriate staff and/or departments; attach messages to health records when appropriate. 3. Schedule appointments in accordance with policies and procedures. 4. Collect data on new/established patients to establish/maintain patient records. Update information at each patient visits in RPMS, VistA, Medic or Dentrix. Assure that the patient bill of rights, patient responsibility and patient medical home brochures are provided to all patients of record and noted on chart, assist patients to sign release of information forms and other necessary forms for health record. 5. Collect co-pays on dates of service, assisting billing to collect payment for services of sliding fee and self-pay patients on date of service. 6. Assures patient privacy and confidentiality in the reception area, purchase-referred care offices and other locations within the health center, according to HIPAA guidelines. 7. Adjusts providers schedule to reflect vacation times, sick days, holidays and other time blocks as needed. Cancel/re-schedule patient appointments for the same. 8. Performs duties related to the receipt, scanning, indexing and destruction of nonelectronic health Veterans Health Information Systems Technical Architecture (VistA) Applications. 9. Perform follow-up activities when information is not received in a timely manner. Timeliness, accuracy, and organizational skills are essential to ensure that information becomes available for patient care. Communication skills are required to properly coordinate record scanning and indexing functions with team members. 10. Performs quality reviews on scanned documents to ensure accuracy and efficiency. Review the same with medical records staff, as needed. 11. Completes Purchased Referred Care patient vouchers on an as needed basis. 12. Works with PRC Administrator/Accounting to ensure timely payment to specialty providers. 13. Assists in the advancement of PRC billing practices, educating community members of PRC policy. 14. Assist Tribal members in obtaining payment from private insurance or other resources. 15. Must be able to always demonstrate a calm and professional demeanor. 16. Must attend all mandatory training courses offered through the Human Resources Department and/or Department Director. 17. Other duties may be assigned within the scope and complexity of this position's essential functions.

PHYSICAL REQUIREMENTS

: While performing the essential functions of this position, the employee is required to sit, stand, walk, reach and bend. The job may occasionally require travel for training. Employee may/must occasionally lift or move up to 5-10 pounds.

POSITION REQUIREMENTS

1. High school diploma or G.E.D. required. 2. Possess secretarial skills, training and experience in medical/dental office practices and training in telephone answering protocols for an ambulatory care setting. 3. Must be computer proficient, must learn other management information systems used for medical/dental billing and patient registration (RPMS/Dentrix/Plus Medic, etc.) in the facility. 4. Knowledge of HIPAA and confidentiality responsibilities of reception areas required. 5. Knowledge regarding medical/dental and other human services terminology required. 6. Two years of experience with Medical Office or Billing required. 7. Maintain knowledge in Indian Health Services/Purchase Referred Care Regulations. 8. Excellent communication skills required. 9. Must have an excellent past work record. 10. To perform this position successfully, an individual must be able to perform each function listed under the essential functions and physical demands categories of this position description. This position closes, May 14th This job description is intended to describe the general nature and level of work to be performed. It is not intended to be an employment agreement or contract, nor is it an exhaustive list of duties, responsibilities, and requirements. Bay Mills reserves the right to change, add, or reassign job duties or combine positions, or portions thereof, at any time. It is the policy of BAY Mills Indian Community to provide equal opportunity in employment to all employees and applicants for employment. No person will be discriminated against in employment because of race, religion, color, sex, age, national origin, disability, military status, or any other characteristic protected by applicable tribal, federal or state law. However, BMIC may grant first consideration for employment to Indians in accordance with the spirit of the Indian Preference Act, PL 88-352-Sec. 707 (1) July 2, 1972.