This position serves as a Medical Support Assistant (OA) within the Purchased Referred Care (PRC) department of the El Reno Indian Health Center. The incumbent is responsible for coordination and issuance of purchase orders for all patient care services and assures compliance with regulations regarding PRC eligibility requirements. This position reports to the Facility Unit Director.

Duties

Prepares and distributes all purchase order authorizations. Follows up on outstanding purchases and denial and/or deferred letters. Analyzes obligations and disbursements. Assures compliance with regulations regarding PRC eligibility requirements, denial and appeal processes. Verifies patient eligibility in receiving routine medical referrals and/or emergency call-ins for treatment.

Requirements

Qualifications

To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week. For positions requiring positive education requirements, or if you are using education to meet all or part of the qualification requirements, you MUST submit a copy of your transcripts or an itemized list of college courses which includes equivalent information from the transcript (course title, semester/quarter hours, and grade/degree earned) in your resume. MINIMUM QUALIFICATIONS: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks specific to the grade level(s) you are applying to: GS-5: One year of specialized work experience equivalent to the GS-4 grade level determining eligibility requirements; obtaining and processing demographic requirements and insurance information for patient registration, alternate resources, purchased referred care services or related purposes; preparing, processing and issuing medical referrals for outside vendors; setting up patient appointments by phone, taking emergency call-ins; talking with patients regarding bills, follow up appointments; and basic knowledge of medical procedures, various medical specialties and medical terminology to select providers, arrange appointments, and discuss procedures recommended under the guidance of supervisor or medical staff. OR Four years of education beyond the high school level (must provide transcripts). OR Equivalent combination of successfully completed post-high school education and experience are also qualifying. Only education in excess of the first 60 semester hours (i.e., beyond the second year) is creditable toward meeting the specialized experience requirement. GS-6: One year of specialized work experience equivalent to the GS-5 grade level preparing, processing and issuing medical referrals for outside vendors; communicating with patients regarding bills, status of claims, approved referrals, follow up appointments and appeal process when necessary within the scope of purchased referred care (PRC) procedures and policy; and coordinating the management of the health care delivery system by providing contract medical vendors with PRC authorizations to determine an estimated cost of the services render, whether inpatient or outpatient services. GS-7: One year of specialized work experience equivalent to the GS-6 grade level determining if an authorization has been issued or has been paid using own initiative and judgment within the scope of the purchased referred care (PRC) procedures and regulations; monitoring Third Party liability and Federal Medical Care Recovery Act (FMCRA) coordination; assisting in the management of purchased referred care (PRC) transactions while submitting authorizations through proper channels. Typing Proficiency: The typing proficiency requires applicants to type 40 words per minute based on a five minute sample with three or fewer errors. You must meet all qualification requirements within 30 days of the closing date of the announcement. Federal employees in the competitive service are also subject to the Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP).

Education

When there is a positive education requirement, or you are using education to qualify as a substitution for experience, transcripts (unofficial) are required at the time of application to verify that you meet the educational requirement or substitution.
Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.ed.gov/accreditation

Foreign Education: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show that the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: https://www2.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address Clinton Service Unit Rt 1 Box 3060 Clinton, OK 73601 US
• Name: Kyle Bodine
• Phone: 405-650-2628
• Email: [email protected]