This position is located under the Division of Financial Services, Patient Business in the Benefits Coordinator Section at the Phoenix Indian Medical Center. The primary purpose of this position is to function as the Health Benefits Coordinator, assuring the identification of patients who are eligible for alternate resources. This position reports to the Benefits Coordinator Supervisor. Position is located in Phoenix, Arizona.

Duties

Works closely with all Phoenix Indian Medical Center staff in the identification and utilization of all alternate resources available to the Indian population. Establishes eligibility of potential Medicare eligible by working with the Social Security Administration (SSA), on both the local and regional levels. Works closely with the local County Department of Welfare, Department of Human Resources, and/or with other appropriate agencies, and Tribal Offices to establish eligibility for Medicare, Medicaid, Supplemental Social Security Income, etc. Interviews all patients eligible for Medicare and Medicaid benefits to ensure they understand their entitlements in Indian Health Service facilities. Maintains a tracking system of pending applications for various Medicare or Medicaid programs to ensure the enrollment of patient to said programs.

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-07: 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. Examples include: Demonstrated experience working with a health care delivery system, responding to routine inquiries from patients, explaining multiple health service options; assessing and educating patients in regards to unique health services and program eligibility; assisting patients through the enrollment process for each benefit; screening and interviewing patients to obtain accurate biographical information; researching alternate resources, interpreting comprehensive rules and procedures for outside resources. GS-08:One (1) year of specialized experience equivalent to at least the GS-07 grade level in the Federal service obtained in either the private or public sector. Examples include: Certifying the eligibility requirements for health care benefit programs such as Medicare, Medicaid, Social Security Insurance, and similar resources provided by the medical facility; compiling data and writing reports; conducting comprehensive patient interviews to determine eligibility for alternate health insurance resources; providing recommendations to patients on the various health care benefit programs and eligibility criteria based on current health care laws and regulations; conducting extensive research and providing benefit updates involving changes in rules and regulations for alternate resources; assisting in settling controversial benefit issues. 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 Phoenix Service Unit 1616 E Indian School Rd Suite 360 Phoenix, AZ 85016 US
• Name: Chelsea Banteah
• Email: [email protected]