Currently seeking Medical Support Assistant to support the White Earth Health Center.
Duties as follows:
• Process Purchased Referred Care (PRC) patient claims as approved/disapproved by the Purchased Referred Care Officer (PRCO) and/or the local site PRC Manager;
• Identify alternate resources available to patients such as Medicare, Medicaid, vocational rehabilitation, V.
A.
, private insurance or other third party coverage;
• Contacts alternate resource agency to verify coverage;
• Interviews in-patients/outpatients to obtain pertinent current patient registration demographic information;
• Enters patient data into the Practice Management and RPMS Patient Registration system.
• Obtains, verifies, and sequences insurance information for billing and maximum reimbursement from all alternate resources;
• Assures that all information is current and correct prior to billing for services;
• Identifies the order of billing/coordination of benefits on reason for visit or clinic type;
• Obtain signatures for Medicare and private insurance patients;
• Identify patients whose health benefits are subject to prior approval to determine the extent of health care for both inpatient and outpatients;
• Explains the program to the beneficiaries, why Medicare, Medicaid and or private/commercial insurance will be billed for rendered services;
• Initiate all admitting forms to complete the admission with current patient data, including the RPMS patient registration sections utilizing hospital and other local resources.
• Knowledge of proper processing requirements including forms, authorization documents and standard correspondence.
• Knowledge of the various clinical systems, walk-ins and appointments to avoid unnecessary delay or confusion on the part of the patient.
• Knowledge of the patient registration function and requirements for obtaining necessary third party information.
• Knowledge of patient registration and ability to enter and update eligibility, demographic, contact, and insurance information into RPMS accurately.
• Knowledge of Privacy and confidentiality considerations.
• Skills in operating computers, scanner, copier machines and other standard office equipment.
• Shall be able to read, write, and speak English well enough and enunciate with sufficient clarity to effectively communicate with patients and other health care providers.
Job Type: Full-time
Pay: $25.
00 - $26.
00 per hour
Schedule:
* Monday to Friday
Work setting:
* In-person
Work Location: In person
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