This position is located in the Purchased Referred Care (PRC) Office at the Southern Bands Clinic in Elko,Nevada. Position provides a full range of PRC services to PRC eligible patients for the Elko Service Unit.

Duties

This position is being re-advertised to solicit additional applications. Applicants who applied previously need not reapply unless submitting updated and/or missing information. Determines patient eligibility for care in accordance with Purchased Referred Care (PRC) Program policy and relevant federal regulation(s). Approves, denies or pends direct care referrals based on the eligibility criteria, priority of care and direct care in accordance with applicable federal regulations. Coordinate with outside vendors to ensure patients claims are submitted correctly for payment. Counsels and advises patients of their PRC eligibility status, and available alternate resources, available patient benefits coordination, scheduled referral appointments, dates, times, locations and contacts the contracted provider for pre-diagnostic or procedural orders. Provides response to routine correspondence, compiles information, and prepares periodic and special reports concerning contract services for submission to management officials and others.

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. MINIMUM QUALIFICATIONS, GS-0679-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Examples include: Assure funds have been obligated within deadlines, unused obligations are cancelled and re-obligated. Assist in determining patient eligibility. Maintain obligation registers regarding funds for inpatient and outpatient services. Time In Grade 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). You must meet all qualification requirements within 30 days of the closing date of the announcement.

Education

There are no education requirements.

Contacts

• Address Owyhee Service Unit 515 Shoshone Circle Elko, NV 89801 US
• Name: Yanibah Yazza
• Email: [email protected]