General Information

Job Title: Patient Access Representative

Contact: Human Resources, (907)228-9316

Date Posted: 08/19/2024

Location: Revenue Cycle

Compensation and Hours

Minimum Salary: $21.22/Hour

Maximum Salary: $31.83/Hour

Type of Job: Full Time

Hours per Week: 40

Benefits: Health/Dental/Vision/401K

Anticipated Job Duration: Year Round

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Job Description

PURPOSE

Ketchikan Indian Community (KIC) job descriptions are a management tool to help organize duties and provide employees with the employer’s expectations with regard to a specific job classification. The responsibilities listed are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is a reasonable assignment for the position. This job description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice.

JOB SUMMARY

The Patient Access Representative (PAR) is the first Clinic services impression to provide patient interaction at the beginning and end of each visit. Incumbent will assist in care coordination between the patient and clinic staff by scheduling patients, verifying insurance / eligibility, enrolling patients in the information portal, completing reminder calls, and assisting in obtaining important information concerning the transmission of disease prior to arrival in the clinic.

Assists with department coverage as needed and performs other duties as assigned.

JOB DUTIES & RESPONSIBILITIES

· Works directly with patient assisting, updating, and utilizing alternate resources

· Completes pre-registers / registers patient with accurate patient demographic and financial data.

· Address co-insurance for scheduled appointment/procedures.

· Verifies coverage and ensures all insurance requirements are met, as well as assistance with prior authorization as appropriate prior to patient arrival.

· Manages daily appointment schedules which may include reminder calls and calling all referrals. May transport patients utilizing escort or wheeled transport equipment.

· Greets patience and visitors in person or on telephone.

· Provides directional assistance for those accessing the clinic and observing patients waiting in the lobby for any signs of distress.

· Connects telephone calls to requested individual in a rapid, accurate, and professional manner.

· Answers or refers inquiries to the appropriate department or individual.

· Effectively managing conflict in an understanding and professional manner.

· Approach all tasks using excellence in customer service and the use of good interpersonal skills.

· Adheres to safety procedure, remains vigilante and informs security of any unusual activity.

· Completes safety modules and performs duties as delegated during an emergency.

· Ensures HIPAA compliance.

· Other duties as assigned

MINIMUM QUALIFICATIONS (Education & Experience)

· Highschool Diploma or GED Required

· Two (2) years customer service, registration processing, medical office or computer database experience preferred.

· Progressive responsible administrative/management work that indicates ability to acquire the particular knowledge and skills needed to perform duties for this position.

· A combination of relevant experience, education, and training may substitute for education and experience requirements on a year-for-year basis.

· Proof of valid driver's license with acceptable driving record (when DL is required for the job).

NECESSARY KNOWLEDGE, SKILLS, & ABILITIES

· Knowledge of customer service concepts and practice.

· Knowledge of basic medical terminology and clinic systems.

· Knowledge of insurance processes and regulations.

· Knowledge of CPT/ICD coding preferred.

· Strong understanding and sensitivity to American Indian/Alaska Native (AI/AN) Tribal culture and lifestyle, working effectively with AI/AN populations.

· Effective oral and written communication skills with sensitivity to the lifestyles of targeted participants.

· Skills in operating personal computers using a variety of computer software.

· Ability to establish and maintain cooperative working relationships with management, coworkers, and outside contacts.

· Ability to maintain strict confidentiality and comply with all applicable federal and tribal privacy laws and KIC policy (HIPAA, HITECH, etc.).

· Ability to learn and apply program/agency operating policies and procedures.

· Ability to manage multiple priorities and tasks concurrently and meet deadlines.

· Ability to work independently as well as with teams.

KIC COMPETENCIES

Cultural Competency: To be respectful and responsive to the health beliefs, practices, and cultural and linguistic needs of KIC Tribal Members. Developing cultural competence is an evolving, dynamic process that takes time and occurs along a continuum .

Commitment: To serve Tribal Members and set a high standard for yourself in your performance; strive for results and success; convey a sense of urgency and bring issues to closure; and stay persistent despite obstacles and opposition.

Customer Service: Meet/exceed the expectations and requirements of internal and external customers; identify, understand, and monitor the needs of both internal and external customers; always talk and act with customers in mind; and recognize working colleagues as customers.

Effective Communication: Ensure important information is passed to those who need to know; convey necessary information with respect, clearly and effectively orally or in writing

Responsiveness and Accountability : Demonstrate a high level of conscientiousness; hold oneself personally responsible for one's own work; and do the required fair share of work.

WORKING CONDITIONS

The physical demands described here are representative of those that an employee must meet to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.

While performing the duties of this Job, the employee is regularly required to use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee is frequently required to stand and/or sit. The employee is occasionally required to walk, sit, climb, or balance. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, peripheral vision, and depth perception. The noise level in the work environment is usually average.

The environment involves the usual risks and stress of an office environment within an ambulatory health care facility. The employee may be exposed to communicable diseases. Safety precautions for employees such as blood drawing for screening of various diseases such as hepatitis, required immunizations, etc. are necessary. The employee is occasionally subject to verbal abuse, threats, and physical violence from angry, hostile, or disgruntled patients and/or family members.

CONDITIONS OF HIRE

· May be required to possess and maintain a valid driver's license or capable of obtaining one, as well as be insurable by KIC’s company insurance.

· KIC is a Drug-Free Workplace. All employees must adhere to KIC drug and alcohol policies and procedures to ensure a safe workplace. Employees must pass a pre-employment and subsequent random and/or for cause drug and alcohol screening to be eligible for and maintain employment.

· KIC has several positions that must comply with the P.L. 101-630 Indian Child Protection and Family Violence Protection Act (ICPA); all employment offers in the " covered" classification are conditional until KIC has received a Federal criminal background check verifying eligibility to work in these programs.

Required Job Qualifications

1. Can you pass a drug test?

2. Are you 18 or older?

   02.(a). Education - Do you have a GED or High School diploma

3. Do you have a pending charge or past conviction for DWI/DUI?

4. Do you have any pending charge(s) or past conviction(s) for possession of a controlled substance?

5. Has your driver's license, permit, or privilege ever been suspended or revoked?

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