Patient Registration Clerk Lead-HHK-Sacaton

Position Summary: Greets and directs all patients with professionalism and coordinates the workflow of Patient Registration area for efficient, accurate, and compliant operations. Registers patients by obtaining, documenting, and reviewing necessary demographic, financial, and insurance data in accordance with established policies, standards, and requirements. Leads Patient Registration Clerks by managing work schedules, workflows, and providing guidance. Works cooperatively with the Patient Registration Manager. In addition, responsible for knowing all aspects of Patient Registration Clerk job duties.

Critical Tasks:

• Oversees the daily activities of the Patient Registration Clerks to ensure department standards are met.
• Assists department Manager and Director in establishing and implementing goals for the department.
• Assists the department’s Quality Assurance Training Specialist in providing departmental orientation and training.
• Coordinates staff schedules and monitors workflow of the department to ensure proper coverage of all clinics. Approves requests for paid time off.
• Serves as a resource for staff by assisting with problem-solving and translating policies in simplified language.
• Performs quality review audit of Registration activities, including daily log entries in order to maintain accurate patient information.
• Manages equipment and inventories of supplies for efficient operations. Orders items and requests IT assistance as necessary.
• Registers patients for appointments and prepares required paperwork by obtaining and recording accurate demographic and billing information of patients. Directs patients and their family members to various clinics.
• Obtains necessary authorizations from insurance payers after verifying insurance coverage. Identifies errors by comparing insurance information with Electronic Health Record (EHR) data and makes updates. Contacts patients to acquire necessary information for problem-solving.
• Utilizes EHR to ensure all information remains accurate and organized. Updates EHR with verified information related to insurance policies.
• Explains primary and secondary insurance coverage differences to patients and determines Purchase Referred Care (PRC) or Direct Only eligibility for PRC. Demonstrates American Indian Health Program (AIHP) as the desired Arizona Health Care Cost Containment System (AHCCCS) plan.
• Researches Indian Health Service (IHS) rules and maintains updated knowledge of Gila River Indian Community (GRIC) to ensure compliance with federal policy and tribal regulations in relation to geographic residence locations and tribal membership.
• Coordinates with PRC, Benefit Coordination, and Revenue Cycle to conduct researches of alternative sources, assist with research claim denials and reimbursement issues, and achieve established collection goals.
• Supports other medical office needs by answering telephone inquiries and handling receipt of co-pays and self-pays.
• Performs other job-related activities as requested.

Required Qualifications:

• High School Diploma or GED required; Associate’s Degree in a health care field preferred.
• 1 year of health care patient-facing clerical / customer service experience required.
• Electronic Health Record (EHR) experience preferred.
• Knowledge of medical terminology preferred.
• Current and continuous CPR/AED training and certifications within 1 year in position.
• Exceptionalcommunication,interpersonal,andcustomerserviceskills.
• Demonstrates ability to relate to diverse cultures and specifically the Gila River Community and/or other Native American cultures and community health services.