Job Announcement: HR2023:54

Position Title: Patient Access Specialist

Advertising: Publicly

Department: Health

Division: Health & Elder Services

Immediate Supervisor: Physician Assistant-First Generation Clinic

Department Director: Director - Health

Employment Status: Non-Exempt

Position Type: Regular Full–Time

Mandatory Reporter: No

Background Check Required: Yes (data-sensitive)**

Opening Date: Monday, April 10, 2023

Closing Date: Monday, April 17, 2023 by 5:00 p.m.

Preference shall be given in accordance with the Title 33 (Tribal Employment Rights) of the Tribal Code/DFWP.

Overall Objectives of Position The Patient Access Specialist is responsible for greeting incoming patients, conducting patient interviews, distributing and obtaining signatures for paperwork, enter pertinent information including demographic and insurance, verifying insurance eligibility, explaining services and eligibility to patients and answer the switchboard. This job description is not an all-inclusive list of the duties and responsibilities of this position. The Patient Access Specialist is expected to perform all duties and responsibilities necessary to meet the goal and objectives of applicable programs. The Patient Access Specialist is expected to live the Purpose and Values of the Poarch Band of Creek Indians and will go beyond the call of duty.

Primary Responsibilities of the Patient Access Specialist

• Interviews patients to obtain pertinent patient registration information; i.e. demographic and insurance information and authorization provided from all alternate resources.
• Assists patients in completing new or updating charts in the BPRM Patient Registration System and/or Cerner EHR.
• Obtains and verifies the health records in the BPRM Patient Registration System or Cerner EHR for Medicaid, Medicare, and private/commercial insurance eligibility information for all patients seen prior to all clinic visits.
• Obtains signature for file on all required forms prior to patients being seen in the clinic for billing purposes and/or eligibility.
• Makes corrections as necessary to improve the Patient Registration System.
• Collects third party recipient health cards, obtains photocopies of the card and explains the program to the beneficiaries; i.e. why Medicare, Medicaid and/or Private Insurances will be billed for services they receive at the Buford L. Rolin Health Clinic.
• Interviews patients to obtain information to initiate a new health record and/or communicate to Medical Records to reactivate a retired/stored record.
• Enters all information into the BPRM Patient Registration System and/or Cerner EHR and prints appropriate forms.
• Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries and files appropriately.
• Transcribes all new insurance information into the BPRM system and/or Cerner EHR.
• Calls patients before appointments to remind of documentation to bring in i.e., driver’s license, enrollment letter, and confirm appointments.
• Obtains patient signature for Service Agreements, Notice of Privacy Practices, etc., scans forms signed by patients into VISTA and/or Cerner EHR.
• Documents all changes and updates on the notes page with date and initials.
• Collects fees and co-pays from non-beneficiaries, prints register and credit card report at end of shift, maintains petty cash and turns all receipts and reports into Revenue Director.
• Answers eligibility questions for new patients and lets patients know what they are eligible for when getting a new chart.
• Answers telephone and directs calls to appropriate staff member/department.
• Schedules patient appointments within the clinic.
• Manages and schedules referral appointments to in-house and outside specialists.
• Maintains an updated list of all departments, personnel and extensions to assure proper transfer of calls.
• Greets visitors when necessary, answers questions, or directs them to the appropriate person.
• Performs other duties as requested from the Medical providers.

Day-to-day Responsibilities

• Same as above.

Education/License/Certification and Experience Requirements

• Associate’s Degree in Business Administration or related field and/or a combination of education and related employment experience in a confidential business/office setting equivalent to two (2) years.
• Two (2) years of data entry or clinical employment experience with customers is required.
• Must maintain current professional licensure in Basic Life Support (BLS) or obtain licensure within ninety (90) days of date of hire.

Skills Required

• Absolute confidentiality, adhering to HIPAA guidelines and the Privacy Act.
• Basic knowledge of eligibility requirements of the Buford L. Rolin Health Clinic.
• Must understand basic medical terminology.
• Knowledge of interview techniques and experience in applying various policies and procedures in the performance of assigned duties.
• Must be able to read, research, and interpret computer data related to patient interviews and eligibility searches.
• Must be able to maintain specified records, files, and logs of the department.
• Must have working knowledge of computers with the ability to work in a Windows environment with various software programs such as Word and Excel. Must successfully pass required pre-employment computer skills exam.
• Demonstrated proficiency in English, spelling, punctuation, and basic writing skills. Must successfully pass applicable knowledge, skills, and abilities exams.
• Skilled in the operation of standard office machinery including a calculator, copier, facsimile, and other similar equipment.
• Demonstrated ability to establish workload priorities, handles multi-tasks, and balance diverse projects. Strong organizational skills required.
• Exceptional interpersonal and communication skills, both verbally and in writing.
• Must be able to work well independently or as a member of a team.

Additional Requirements

• Must meet CMS COVID Vaccination Requirement or be approved for a qualified medical or religious exemption prior to employment.
• Ability to work odd and irregular hours, as needed; flexible in regards to accommodating emergency visits as needed.
• Must successfully pass the required criminal and character background check.
• Ability to travel and participate in required training, leadership development, and other events.
• Ability to adequately and successfully perform all duties and responsibilities of this position.

Every applicant must complete an application provided by Human Resources. A resume will not be accepted in the place of an application.

**Please note ALL individuals selected for employment are required to complete a background investigation. Individuals being placed in positions designed as child-sensitive or data-sensitive must successfully complete a background check prior to employment.

INDIAN PREFERENCE, SPOUSAL PREFERENCE, OR FIRST GENERATION:

In the event more than one applicant meets the requirements, as stated in a job description, preference shall be given in the following order: (1) Tribal Member (2) First Generation Descendant of a Tribal Member (3) Spouse of Tribal Member (4) Indian (5) Non-Indian

In the event that a position of employment is funded in whole or in part my any federal grant and/or contract or other public funding, preference shall be given in the following order: (1) Indian (2) Non-Indian

In order to receive preference, the appropriate documentation must be submitted.

COMPLAINTS ABOUT RECRUITMENT PROCESS:

Complaints about the recruitment or selection process for employment should be directed in writing to the Human Resources Director of PCI Tribal Government.

An applicant who disagrees with any issue related to the application or hiring process may submit a letter to Human Resources within ten (10) calendar days from the date the applicant knew or should have known that an adverse hiring decision had been made.

Human Resources will provide a written response within fourteen (14) calendar days informing the applicant of any administrative remedy to be provided. The decision of the Human Resources Director shall be final and not subject to further administrative appeal. Any applicant who has exhausted all administrative remedies may be eligible to file a complaint with the TERO Office.

Jason B. Rackard

Human Resources Director

5811 Jack Springs Rd.

Atmore, AL 36502

jrackard@pci-nsn.gov

251-368-9136

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