JOB SUMMARY

Plans and delivers professional nursing care to patients. Job duties include diagnosis, vital signs, documents patient condition. Assists provider during exams as needed. Provides treatments or administers medications as directed, prescribed treatments. Handles complex issues and problems and refers only the most complex. Perform work under minimal supervision, coaching, provides leadership. Possesses comprehensive knowledge of subject matter, issues to higher-level staff. Requires current RN licensure. May act as a lead or first-level supervisor and/or mentoring to a subordinate group. Oral and written communication skills. Ability to work as part of a team.

Provides professional nursing care to assigned patients in an outpatient facility or clinic. Records patient histories, performs various diagnostic tests, administers medications, and develops patient care plans in conjunction with other medical professionals. Assists physicians during examinations and procedures, operating and monitoring medical equipment as necessary. May call in pharmacy refills. A bachelor's degree in nursing preferred. Requires a valid state RN license.

ESSENTIAL FUNCTIONS

• Answers, screens, and routes all incoming calls professionally in a timely manner, functioning as a central communication source for the clinic, patients, patients’ family physician, and external sources. Responds to voicemails daily.
• Exhibits pleasant interpersonal skills in greeting patients at office and on telephone.
• Ensures superior ongoing patient satisfaction and customer service
• Is proficient in EHR applications
• Creates appropriate tasks for clinical staff, to achieve timely follow up.
• Accurate interview and registration of new patients as well as updating demographic and insurance information on established patients.
• Accurate input of demographic, guarantor, and insurance information into HER.
• Obtains signature(s) of patient and/or responsible parties on consent, insurance and payment policies and procedures.
• Communicates to the patients the details of consents, filing of insurance, and payment of services. Assists patients in understanding billing and collection of payment.
• Collects and scans insurance cards or completed insurance forms from patients.
• Identifies, follows up and secures missing (and incorrect) patient and insured party information for clean claim processing.
• Scheduling patients for office appointments, maintaining parameters of provider schedules and following clinic standards and guidelines.
• Cashier duties including maintaining cash box and daily cash reconciliation.
• Verifies Insurance eligibility for all patient’s appointments 2 days prior to appointment.
• Collects co-payments, co-insurance amounts, and/or time of service payments at the time of check-in, including self-pay discount and forwarding adjustment form to PFS for processing.
• Makes appointment reminder calls.
• Destroys confidential information per HIPAA guidelines.
• Secures confidential items nightly, including Electronic Health Records (EHR), paper Medical Records.
• Maintains phone system including message retrieval, and controls day and night mode functions.
• Cross trained with which positions?
• Actively participates in Strategic Quality Management for the department and organization. Actively participates in Customer/Guest Relations and Mandatory Education programs.
• Must be free from governmental sanctions involving health care and/or financial practices.
• Complies with the hospital’s Corporate Compliance Program including, but not limited to, the Code of Conduct, laws and regulations, and hospital, department and clinic policies and procedures.
• Other duties as assigned. This list is non-exhaustive.

JOB QUALIFICATIONS

1. Education, Training, Experience:

• Education: Graduate of an accredited school of nursing.
• Licensure: Current Wyoming license
• Certifications required: See Cardiopulmonary Resuscitation Certification Policy and Certifications/Education Requirements Policy.
• Experience: Experience in ambulatory clinic nursing preferred.

1. Knowledge, Skills, and Abilities:

• The ability to maintain continuing education requirements and all certifications and licenses as required (e.g. ACLS, PALS, CPI, CPR)
• Must relate well with patients, families, hospital staff, physicians, and public.
• Ability to handle various projects simultaneously and efficiently with attention to accuracy, prioritization, and patient request.
• Analytical, reasoning, and interpretive skills with a high level of mental concentration and memory.
• Able to comprehend technical medical terminology.
• Computer Knowledge including the ability to enter material into electronic record. Ability to operate telephone, fax, computer, and copy machine to perform the duties of the position. Microsoft Word and Excel skills preferred.