This position is located in the Purchased/Referred Care Branch of the Sisseton Service Unit. The function of PRC is to provide medical care not available at the Service Unit for eligible beneficiaries. The individual is responsible for providing support for the PRC program and for participating in the administration of Direct Patient Care and for the use of alternate health care and alternate health care resources in order to provide total comprehensive service for the Service Unit.

Duties

Issue Denials on a daily basis. Issue Purchase Orders on a daily basis. Prepare ER notifications for submission to PRC Committee. Check all bills received daily. Schedule patient appointments for PRC referrals.

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): In addition to the Basic Requirements, you must also meet the Minimum Qualifications stated below. 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: Minimum Qualification, GS-04 : One year of general experience. General experience is progressively responsible clerical, office or other work that indicates ability to perform the work of this position at the GS-4 level or 2 years of education above high school level. Minimum Qualification, GS-05: One full year of specialized experience equivalent to at least the GS-04 grade level that equipped me with the knowledge, skills and abilities to successfully perform the duties of this position. Examples include: Respond to inquiries and requests through telephone, correspondence and personal visits. Knowledge of funds control techniques. Skill in monitoring and accounting for funds allotted or 4 years of education above high school level. Minimum Qualification, GS-06: One year of full-time specialized experience comparable in difficulty and - responsibility to the GS-05 grade level that equipped me with the knowledge, skills and abilities to successfully perform the duties of this position. 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. Minimum Qualification, GS-07: One year of full-time specialized experience comparable in difficulty and responsibility to the GS-06 grade level that ??quipped me with the knowledge, skills and abilities to successfully perform the duties of this position. Examples include: Proficient in applying policies, procedures, rules and regulations when determining patient eligibility, availability of services and identification of fiscal resources. Expert in funds control techniques to account for allotted funds and preparing statements and reports. General Experience-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. Specialized Experience -Experience that equipped the applicant with the particular knowledge, skills, and abilities (KSA's) to perform successfully the duties of the position, and that is typically in or related to the position to be filled. To be creditable, specialized experience must have been equivalent to at least the next lower grade level. Applicants who have the 1 year of appropriate specialized experience, as indicated in the table, are not required by this standard to have general experience, education above the high school level, or any additional specialized experience to meet the minimum qualification requirements. Education: High school graduation or the equivalent is creditable at the GS-2 level for the occupations listed, except Clerk-Stenographer, where it is creditable at the GS-3 entry level. Successfully completed education above the high school level in any field for which high school graduation or the equivalent is the normal prerequisite is creditable at grades GS-3 through GS-5 for all positions except Reporting Stenographer, GS-5. This education must have been obtained in an accredited business, secretarial or technical school, junior college, college or university. One year of full-time academic study is defined as 30 semester hours, 45 quarter hours, or the equivalent in a college or university, or at least 20 hours of classroom instruction per week for approximately 36 weeks in a business, secretarial, or technical school. As a general rule, education is not creditable above GS-5 for most positions covered by this standard; however, graduate education may be credited in those few instances where the graduate education is directly related to the work of the position. Combining Education and Experience: Equivalent combinations of successfully completed post-high school education and experience may be used to meet total experience requirements at grades GS-5 and below, except for Reporting Stenographer, GS-5. For GS-3 and GS-4 level positions, determine the applicant's total qualifying experience as a percentage of the experience required for the grade level; then determine the applicant's education as a percentage of the education required for the grade level; then add the two percentages. The total percentage must equal at least 100 percent to qualify an applicant for that grade level. For GS-5 level positions (except Clerk-Stenographer, which does not require specialized experience), only education in excess of the first 60 semester hours (i.e., beyond the second year) is creditable toward meeting the specialized experience requirement. One full academic year of study (30 semester hours) beyond the second year is equivalent to 6 months of specialized experience. NOTE: Equivalent combinations of education and experience are qualifying for all grade levels and positions for which both education and experience are acceptable. 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 Sisseton Service Unit PO Box 189 100 Lake Traverse Drive Sisseton, SD 57262 US
• Name: Joseph Dudley
• Phone: 605-226-7203
• Email: [email protected]