POSITION SUMMARY:
The Purchase Referred Care Assistant is directly responsible to the Business Office Manager. The PRC Assistant is responsible for initial screening of Tribal Member patients for payment to specialty providers while following the direction of regulatory authorities.
ESSENTIAL FUNCTIONS:
1. Greets public in a friendly, respectful manner.
2. Answer telephone calls and messages; and attach referrals to health record when appropriate.
3. Assures patient privacy and confidentiality in the reception area, purchase referred care offices and other locations within the health center, according to HIPAA guidelines.
4. Performs follow up activities when information is not received in a timely manner. Timeliness, accuracy, and organizational skills are essential to ensure that information becomes available for PRC processes.
5. Communication skills are required to properly coordinate and complete functions within department.
6. Completes Purchased Referred Care patient vouchers on an as needed basis.
7. Works with PRC Administrator/Accounting to ensure timely payment to specialty providers.
8. Assists in the advancement of PRC billing practices, educating community members of PRC policy.
9. Assist Tribal members in the obtaining payment from private insurance or other resources.
10. Must be able to demonstrate a calm and professional demeanor at all times.
11. Must attend all mandatory trainings offered through the Human Resources Department and/or Department Director.
12. Other duties may be assigned within the scope and complexity of this position’s essential functions.
PHYSICAL REQUIREMENTS:
While performing the essential functions of this position, the employee is required to sit, stand, walk, reach and bend. The job may occasionally require travel for training. Employee may/must occasionally lift or move up to 5-10 pounds.
POSITION REQUIREMENTS:
1. High school diploma or G.E.D.
2. Possess secretarial skills, training and experience in medical/dental office practices and training in telephone answering protocols for an ambulatory care setting.
3. Must be computer proficient, must learn other management information systems used for medical/dental billing and patient registration (RPMS/Dentrix/Plus Medic, etc.) in the facility.
4. Knowledge of HIPAA and confidentiality responsibilities of reception areas.
5. Knowledge regarding medical/dental and other human services terminology.
6. Minimum of two years’ experience with billing insurances, eligibility knowledge and claims processing required.
7. Maintain knowledge in Indian Health Services/Purchase Referred Care Regulations.
8. Excellent communication skills required.
9. Must have an excellent past work record.
10. To perform this position successfully, an individual must be able to satisfactorily perform each function listed under the essential functions and physical demands categories of this position description.
This position is open until July 17th.
This job description is intended to describe the general nature and level of work to be performed. It is not intended to be an employment agreement or contract, nor is it an exhaustive list of duties, responsibilities, and requirements. Bay Mills reserves the right to change, add, or reassign job duties or combine positions, or portions thereof, at any time.
It is the policy of BAY Mills Indian Community to provide equal opportunity in employment to all employees and applicants for employment. No person will be discriminated against in employment because of race, religion, color, sex, age, national origin, disability, military status, or any other characteristic protected by applicable tribal, federal or state law. However, BMIC may grant first consideration for employment to Indians in accordance with the spirit of the Indian Preference Act, PL 88-352-Sec. 707 (1) July 2, 1972.
