Location: San Simon, AZ Exit Disclaimer: You Are Leaving www.ihs.gov
Type: TribalSalary Range: $20 to $25 / Per Hour Open Period: 3/26/2024 until filledSummary: Medical, Dental, Vision, Group Life Insurance, Supplemental Life for Dependents, Short Term Disability, Long Term Disability, 401(k), Paid Time Off-eligible to accrue upon the first day of employment and 15 Paid Tribal Holidays
The incumbent is responsible for administering the Purchased/Referred Care (PRC) program. Responsibilities include allocating PRC funds and alternate healthcare resources to provide complete comprehensive health services for Tohono O'odham Nation Health Care's user population. More info about area: http://www.tonhc.org/ Exit Disclaimer: You Are Leaving www.ihs.gov
Duties: Maintains collaborative measures with the clinical teams to assure initial and process follow-up patient referrals according to the current PRC mapping process for the health care facility. Responsible for determining patient eligibility, scope, and priority for the PRC program. Responsible for entering necessary referrals into the RCIS system. Assists patients in the scheduling of referred appointments. Provide education to patients on special instructions for referred visits. Follows up on referred visits scheduled to ensure the referring facility receives the visit records. Follows up with patients after referred visits to coordinate follow-up primary care visits as necessary. Respond to PRC inquiries and requests for PRC assistance from the clinic staff and patients. Respond to inquiries and requests within the TONHC Healthcare facilities, including medical, social service, dental, and private sector health resources regarding PRC referral status. Responsible for implementing decisions made for the provision or denial of services. Responsible for effective and maximum utilization of PRC funds and maintaining a follow-up system that will assure adequate funds are set aside for all authorized referrals, emergency notifications, and follow-up care referrals per policy and clinic mapping process. Assures obligation of all funds by the end of the funding period. Assures the cancellation of all unused obligations on a timely basis. Assures all outstanding authorizations over 30 days old are valid. Assures authorizations are only processed when funds are available. Assures transactions affecting funds are promptly processed; this includes obligations, disbursements, cancellations, reconciliation, and recording allocations. Assures effective communication with fiscal intermediaries and Finance, responding to all pending claims. Maintains the Nation's commitment to registering for PRC funds for medical and dental services. Responsible for maintaining a register for all requests for additional funding. Compiles statistical and fiscal data reports necessary to determine funds required to meet the PRC program's needs. Prepare all PRC financial status reports, budget needs, forecasts, and other required PRC reports for the Hospital. Reconciles with Financial Management Reports and Fiscal Intermediary, keeping supervisor and Hospital and clinic staff advised on current fund status. Assist with reporting Catastrophic Health Emergency Fund (CHEF) cases. Works closely Qualifications: High School Diploma or General Education Diploma and one year of work experience in a medical business office function, or an equivalent combination of training, education, and work experience demonstrate the ability to perform this position's duties.Licenses, Certifications, Special Requirements:Must possess and provide a copy of an official record that verified the training received with the employment application.Must possess a certification of completing an approved medical assistant training program accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP), the Accrediting Bureau of Health Education Schools (ABHES), or any accrediting agency recognized by the United States Department of Education. OR;A current and active Certified Medical Assistant (CMA) or Registered Medical Assistant (RMA) from The American Association of Medical Assistants (AAMA) or the American Medical Technologists (AMT). OR;The completion of a medical services training program of the Armed Forces of the United States.Must provide a copy of an official record that verifies the training received.Must obtain an Arizona Notary Public Commission certificate within six months of hire.Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record.May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years).If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.Based on the department's needs, the incumbent(s) may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment. Work Type: Permanent, Full Announcement #: 1060049 Who May Apply? All Groups of Qualified Individuals Get Details & Apply: https://tonation-nsnhealthcare.isolvedhire.com/jobs/1060049-317198.html Exit Disclaimer: You Are Leaving www.ihs.gov