JOB SUMMARY:

• Answers telephone and greets visitors; provides information and assistance; schedules appointments; and resolves problems.
• Gathers patient demographic information, updates patient information, and registers patients in the electronic system; determines eligibility for services; and obtains documentation of Indian blood or other documentation of Tribal membership.
• Obtains and verifies the health records and RPMS Patient Registration information including Medicaid, Medicare, and private/commercial insurance eligibility prior to clinic visits.
• Interviews patient to gather information and establishes a new health record and/or contacts Health Information Management to re-establishes inactive health records if necessary…Assists patients in completing new or updated forms for the RPMS Patient Registration System.
• Identifies and obtains pre-authorization for the patient when needed.
• Prepares documents and obtains patient’s and/or guardian’s signature on required forms as needed, files or routes documents to others appropriately.
• Ensures that minor consent forms are prepared, completed, and filed in patient medical chart.
• Schedule appointments and follow up appointments when necessary.
• Call patients in advance of scheduled appointment to confirm appointment and collect necessary data to verify insurance eligibility.
• Identifies and obtains pre-authorization for the patient when needed.
• Maintains, key-enters, updates, and verifies all Alternate Resources data necessary for patient registration and for accurate billing, and makes corrections as necessary to improve the Patient Registration System.
• Assists with orientation of new personnel and provides orientation specific to appointments desk processes as needed.
• Works in coordination with Benefits Coordinators to establish patient eligibility for the Marketplace Sponsorship Program.
• Completes necessary tracking forms and turn in weekly or as requested.