What are the responsibilities and job description for the Paid Healthcare Patient Account Representative position at Confederated Salish and Kootenai Tribes?
Duties Include: Responsible for examining all claims for Tribal Health Paid Care (THPC) eligibility and coordinating informational data with Tribal Health Department (THD) Patient Registration and Alternate Health Care Resource (HRC) eligibility programs. Responsible for generating purchase order (PO) authorizations for approved medical services. Maintains interface with Patient Registration and HCR eligibility determinations- ensuring all recipients are properly registered/updated and have been screened for other alternate resources. Responsible for ensuring compliance with established budgets, policies and practices. Responsible for reporting and processing reports as needed during each fiscal year (FY). This includes exchanging/sharing of PO's, insurance and pertinent data that is necessary information to complete the task. Responsible for processing medical claims within a five (5) day goal. This includes but is not limited to obligating funds, contacting providers, medical billing departments, doctor off