This position is organizationally located in the Purchased/Referred Care (PRC) Branch of the Sisseton Service Unit. The individual is responsible for providing support for the administration of the Service Unit PRC program. The incumbent is responsible for participating in the administration of Direct Patient Care and use of alternate health care. 1 vacancy to be filled as a GS-4/5. Vacancy 5/6/7 has been filled.

Duties

Performs clerical duties and office automation pertaining to Purchased Referred Care (PRC) referrals. Provides PRC orientation to health service vendors, recipients, patients as well as service unit personnel. Responsible for effective and maximum utilization of PRC funds. Administers day to day activities required of the PRC Program.

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. BASIC REQUIREMENT(S): GS-4: Your resume must demonstrate at least (1) one year of general experience. General Experience is defined as progressively responsible clerical, office, or other work that indicates ability to acquire the particular knowledge and skills needed to perform the duties of the position to be filled. OR(2) two years of education above the high school level. GS-5: Your resume must demonstrate at least (1) one year of specialized experience equivalent to at least the GS-4 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Experiencein receiving and following through on patient requests, scheduling appointments and services, and familiarity with medical terminology; verifying that medical services are satisfactorily received; participating in establishing guidelines. OR (4) four years of education above the high school level. GS-6: Your resume must demonstrate at least (1) one year of specialized experience equivalent to at least the GS-5 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Reviewing billing insurance claims, post payments received from patients and third-party payers, and following up on unpaid accounts; conducts personal interviews with patient or family members to determine potential eligibility for alternate resources; prepares responses to routine correspondence and compiles information. GS-7: Your resume must demonstrate at least (1) one year of specialized experience equivalent to at least the GS-6 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Generate a variety of third party and accounts receivable reports; printing insurance claim forms and exporting electronic claim batches, and tracking outstanding debt letters; assure adequate funds are set aside for all authorized referrals, emergency call-ins, and follow up care referrals.Time In GradeFederal 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 Sisseton Service Unit PO Box 189 100 Lake Traverse Drive Sisseton, SD 57262 US
• Name: Joseph Dudley
• Phone: 605-226-7203
• Email: [email protected]