• Assists the PRC Director in meeting program requirements via effective interactions with other key staff.
• Maintain accurate patient records through documentation for PRC specific and other patient/client files.
• Coordinate patient/client referrals necessary to fulfill PRC requirements and guidelines.
• Ensure patient/client access to health insurance programs.
• Participates in ACA Sponsorship program applicant review.
• Facilitate negotiations and payments on behalf of PRC eligible patients and clients.
• Advocates PlusCare after-hours program usage in training to tribal members and production of materials for marketing and advertising to decrease emergency room utilization (within proper protocols and in line with the Policies and Procedures).
• Maintain database for accurate accounting of patients and clients.
• Provide accurate records for expenditures relevant to the PRC program.
• Provide written and statistical reports for specific grant requirements and compliance.
• Review and delegate all incoming provider driven referrals to assigned staff.
• Review and disperse all incoming fax communications from outside facilities to appropriate staff within PRC, or appropriate department.
• Maintains compliance with Indian Health Services PRC program regulations and AST Health System program policies and procedures to include the maximum utilization of alternative resources.
• Works closely with business office, health center providers, Case Management Medical Review (CMMR) team to ensure that all external referrals are within AST guidelines when needed.
• Maintains accurate and current electronic record keeping system for PRC program.
• Other duties as assigned.

Education Requirements and Qualifications