What are the responsibilities and job description for the General Clerk II position at kgs?
Koniag Advisory Business Solutions, LLC, a Koniag Government Services company, is seeking a General Clerk II to support KABS and our government customer at Poplar, MT. This position requires the candidate to be able to obtain a Public Trust.
This position is covered under the Service Contract Act. We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, paid holidays, paid Vacation, paid sick leave and more.
We are seeking an experienced General Clerk II to provide advanced administrative support for the Purchased Referred Care (PRC) program within the Billings Area Indian Health Service (BAIHS). This position requires specialized knowledge of PRC eligibility requirements and systems and plays a critical role in ensuring patients receive appropriate healthcare coverage and authorization.
Essential Functions, Responsibilities & Duties may include, but are not limited to:PRC Eligibility & Program Management:
Assist in determining patient eligibility, scope of benefits, and priority levels for the PRC program
Review and analyze patient applications and supporting documentation
Apply PRC program guidelines and regulations to make eligibility determinations
Ensure compliance with federal Indian Health Service policies and procedures Customer Service & Communications
Respond to complex PRC inquiries and requests via telephone, written correspondence, and in-person consultations
Provide detailed explanations of PRC benefits, limitations, and procedures to patients and families
Serve as a resource for PRC program information and guidance
Maintain professional communication with healthcare providers, patients, and families
Case Management & Documentation:
Maintain comprehensive follow-up systems for Contract Health Services (CHS) patient files
Track patient cases from initial application through completion of services
Ensure timely processing of referrals and authorizations
Monitor case progress and coordinate necessary follow-up actions
Financial Management & Systems:
Ensure proper allocation of funds for patient referrals, emergency call-ins, and follow-up care
Monitor budget constraints and funding availability for PRC services
Enter and verify authorizations, payments, cancellations, and supplements in PRC computer systems
Maintain accurate financial records and documentation
Process payment authorizations and modifications as required
Data Management:
Utilize PRC information systems for data entry, retrieval, and reporting
Maintain accurate and up-to-date patient records in electronic systems
Generate reports and track program metrics as needed
Ensure data integrity and security compliance
Required Qualifications:
Meet minimum qualification requirements as outlined in prime contract
Advanced knowledge of PRC program regulations, eligibility criteria, and procedures
Strong analytical and problem-solving skills
Excellent verbal and written communication skills
Proficiency in PRC computer systems and database management
Ability to interpret and apply complex program guidelines
Strong attention to detail and accuracy in financial transactions
Preferred Qualifications:
Previous experience with Indian Health Service or tribal healthcare systems
Knowledge of federal healthcare programs and regulations
Experience with contract health services or similar programs
Background in healthcare administration or patient services
Additional Requirements:
Successful completion of background check
Compliance with all IHS policies and procedures
Adherence to HIPAA privacy and security requirements
Participation in site-specific orientation and competency assessments
Computer security training and compliance
Ability to handle sensitive financial and medical information
Position may involve coverage at multiple BAIHS locations
Must be flexible to support continuous service delivery
May be required to assist with emergency authorizations outside normal business hours
Security Requirement:
Ability to obtain a Public Trust
Working Conditions:
Healthcare office environment with frequent patient interaction
Regular use of computer systems and office equipment
May require coordination with multiple departments and external providers
Fast-paced environment with multiple priorities and deadlines
Our Equal Employment Opportunity PolicyThe company is an equal opportunity employer. The company shall not discriminate against any employee or applicant because of race, color, religion, creed, ethnicity, sex, sexual orientation, gender or gender identity (except where gender is a bona fide occupational qualification), national origin or ancestry, age, disability, citizenship, military/veteran status, marital status, genetic information or any other characteristic protected by applicable federal, state, or local law. We are committed to equal employment opportunity in all decisions related to employment, promotion, wages, benefits, and all other privileges, terms, and conditions of employment.
The company is dedicated to seeking all qualified applicants. If you require an accommodation to navigate or apply for a position on our website, please get in touch with Heaven Wood via e-mail at accommodations@koniag-gs.com or by calling 703-488-9377 to request accommodations. Koniag Government Services (KGS) is an Alaska Native Owned corporation supporting the values and traditions of our native communities through an agile employee and corporate culture that delivers Enterprise Solutions, Professional Services and Operational Management to Federal Government Agencies. As a wholly owned subsidiary of Koniag, we apply our proven commercial solutions to a deep knowledge of Defense and Civilian missions to provide forward leaning technical, professional, and operational solutions. KGS enables successful mission outcomes for our customers through solution-oriented business partnerships and a commitment to exceptional service delivery. We ensure long-term success with a continuous improvement approach while balancing the collective interests of our customers, employees, and native communities. For more information, please visit www.koniag-gs.com. Equal Opportunity Employer/Veterans/Disabled. Shareholder Preference in accordance with Public Law 88-352