This position serves as the Purchased Referred Care Assistant (PRC) for the Haskell Indian Health Center in Lawrence, KS. The individual is responsible for providing support for the administration of the PRC program. This position reports to the Supervisory Health Systems Specialist of the PRC Department.

Duties

Determining patient eligibility and responding to inquiries and requests for PRC assistance. Maintaining a follow-up system that will ensure effective and maximum utilization of PRC funds. Assists with reporting of Catastrophic Health Emergency Fund (CHEF) cases by obligating these funds as quickly as possible. Explains regulations and policies to health service providers, recipients, and staff. Entering and verifying all PRC payments, cancellations, and supplements into a computer application.

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: 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: GS-05: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-04 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: with close supervision interviewing patients, updating patient registration information, verifying third-party resources, utilizing patient registration systems, working with various health benefit programs and health insurance programs having different benefits, deductibles and eligibility requirements, and initiating and completing application for third party resources. OR completion of 4 years of education beyond the high school level. OR a combination of education and experience that when combined fully meet the minimum qualifications for this position. Only education in excess of the first 60 semester hours is creditable toward meeting the specialized experience requirement. GS-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: interviewing patients, updating patient registration information, verifying third-party resources, utilizing patient registration systems, working with various health benefit programs and health insurance programs having different benefits, deductibles and eligibility requirements, and initiating and completing application for third party resources. GS-07: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-06 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Perform periodic spot reviews and audits of completed authorization forms; maintain an effective follow up system and maximum utilization of funds; Assure Adequate funds are set aside for all authorized referrals; Assure all funds have been obligated; Assure all outstanding authorization are valid; Assure authorization are processed. You must meet all qualification requirements within 30 days of the closing date of the announcement.

Education

For positions requiring positive education 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.

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 Kansas Service Unit 2415 Massachusetts Lawrence, KS 66046 US
• Name: Jennifer Miller
• Phone: 785-832-4885
• Email: [email protected]