Purchased/Referred Care (PRC) Receptionist (TM46201)

CONFEDERATED TRIBES OF THE COLVILLE RESERVATION•Coulee City, WA

8d•$22 - $30•Onsite

About The Position

Facilitates medical care for patients by scheduling appointments, and managing documentation to ensure compliance with federal or tribal guidelines. Administers all daily activities of the Purchased and Referred Care (PRC) Program and provides clerical assistance and support to the PRC team. Serves as a facilitator between patients and providers of the CTHCA Health team by scheduling appointments for referrals as needed, requesting records. Serves as an advocate for PRC eligible patients to resolve medical bills in collections.

Requirements

High School graduate or equivalent.
Experience (3+ years) in administrative role in a medical or business setting
Valid WA State Drivers License
Possess the ability to interact with a wide variety of individuals and handle complex situations
Requires impeccable communication and negotiation skills, written, and verbal, and excellent computer skills.
Culturally sensitive to Native Americans
Self-motivated
Must be able to prioritize work tasks
Knowledge of administrative office procedures and systems such as work processing, managing files and records, designing forms, and workplace terminology.
Excellent computer and phone skills with great customer service attitude.
Must have excellent organization, verbal, and interpersonal skills
Excellent service approach when dealing with patients
Requires excellent communication skills both written and verbal
Confident in making phone calls to outside health offices
General office principles as practices, computer software applications relative to the position assignment, basic accounting, conflict resolution techniques, operation of standard office equipment that may include personal computer, copier, fax machines and multi-line telephone, program specific information, terminology and-or equipment.
Must be able to follow oral and written instructions, working independently, prioritizing confidentiality on sensitive matters.
Ability to sit and stand for long periods of time
Manual and finger dexterity to complete duties
Ability to frequently bend, stoop, and reach
Ability to push and pull frequently
Ability to comprehend complex issues
Sufficient visual acuity to write, recognize printed materials, computer screen, and notice nonverbal behavior
Speech and hearing ability to project voice to small and large audiences, carry on telephone conversations, hear and grasp verbal communications and equipment prompts
Ability to drive in adverse weather conditions

Nice To Haves

Experience with electronic health record software, preferred

Responsibilities

Knowledge of rules and regulations pertaining to the CCT Purchased and Referred Care Program so as to assure referrals and assistance with obtaining services can be implemented.
Administer all daily activities of the PRC Program: Manages PRC patient files and compliance for all PRC patients
Request documents from providers as needed
Enters patient data into the appropriate databases; maintains accurate files, and organizes data.
Answer telephone calls from patients-vendors with a positive, helpful, customer service attitude.
Responds to PRC inquiries and requests for PRC assistance.
Performs routine clerical office duties
Maintains the strictest confidentiality; adheres to all HIPAA guidelines/regulations.
Understand and adhere to approved PRC Policy and Procedure Manual.
Process, track, and provide follow up communication to patients regarding health bills paid on their behalf.
Assist with billing problems, appointments, and referrals assuring all issues are completed and followed up on in a timely manner.
Coordinate PRC Committee monthly meetings; preparing all information and follow up with patients and providers a necessary per PRC policy and procedures.
Assist with annual PRC audit
Audit PRC files quarterly and presents findings to Revenue Cycle Director
Obtain pricing documentation and other necessary documentation as needed.
Assist patients with documentation of the 72-hour emergency room requirement
Attends meetings and approved trainings as necessary.
Directs and disseminates information to PRC patients
Assists with PRC mail and labels for routine mail outs
Assist other PRC staff with claims as needed to minimize backlog
Post office and mail pick up
Effectively plan, organize workload and schedule time to meet the demands of the position
Utilize effective verbal and written communication skills
The Tribe values its commitment to community service and the well-being of its members. In recognition of this, each employee may be expected to perform duties from time to time which may not be related to their regular responsibilities
Other duties as assigned