Job Description

MINIMUM QUALIFICATIONS

Education - High School Diploma or GED equivalent is required and the completion of a program in Medical Terminology is preferred.



Experience - One year of related experience is preferred.



Licenses & Certification - None



Knowledge & Skills -



Knowledge of patient registration systems and of the Health System in the provision of basic health service.

Knowledge of benefits offered through third-party resource programs such as Medicare, Medicaid, Department of Veterans Affairs, tribal benefits packages (Creek and non-Creek), etc. available to eligible patients.

Skill and ability to organize and multi-task - ability to prioritize tasks by importance and accomplish highest priority tasks each day.

Ability to communicate courteously and effectively with patients and their family members, co-workers, medical care providers, management personnel, tribal leaders and the general public both orally and in writing.

Ability to work with others on an individual basis utilizing high interpersonal skills.

Skill in the use of a personal computer in a Windows environment, and other office equipment.

Knowledge of data entry on an EHR database, word processing and the ability to utilize a personal computer in a Windows environment.

JOB SUMMARY

The purpose of the position is to assist patients of the Muscogee Nation Department of Health in the effective utilization of alternate resources such as Medicare, Medicaid, Department of Veteran Affairs, etc. for the payment of medical services and to provide administrative and clerical support in the daily operations of the clinic.

WORK ENVIRONMENT

Work is performed in a hospital and ambulatory health care setting. There is moderate risk of exposure to infectious communicable diseases, potentially hazardous chemicals, and biohazardous materials.

PHYSICAL DEMANDS

Work is mostly sedentary, requiring filing and operating office equipment. May require some occasional driving.

ESSENTIAL FUNCTIONS

Satisfactory job performance will be determined by successful execution of the following:

Works closely with Registration and Contract Health Services (CHS) to ensure maximum identification of persons having alternate resources or who are eligible to receive alternate resources.

Assists with processing Sooner Care referrals with prior authorizations to specialty clinics for procedures which the Division of Health does not provide.

Determines eligibility for patients with alternate resources by implementing a screening process and interviewing methods effectively and assists patients with applications to appropriate resources to ensure all requirements are met.

Fulfill all screening requests for Contract Health Service to their entirety.

Assist families and individuals in application through other agencies, which provide alternate resources.

Determine and establish eligibility of Medicare, Medicaid, and AFDC, Supplemental Social Security income on patients by working with DHS, Title 19, Advantage Waiver, Breast & Cervical Cancer Program, OEPIC, Insure Oklahoma, CHIPRA, Refer Social Security Disability, and Oil Royalties for DHS/SSI Guidelines, OST/BIA, and Prescription Assistance Programs for needy meds. Social Security Administration on local a regional levels, tribal offices, and other appropriate agencies.

Verify eligibility of patients by contacting appropriate related offices or websites such as OHCA website.

Attend CMS, IHS, State, Tribal, and other designated workshops to retain information regarding updates to programs utilized to provide alternate resources.

Submit monthly reports to Supervisor regarding service activities for each month.

Determines nature of requests made in person or by telephone and handles or refers inquiries appropriately.

Assists medical staff with administrative support when needed.

Regular attendance is required.

Performs other duties as required.


Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.