This position is located in the Patient Business Services/Patient Registration of the Phoenix Indian Medical Center. This position performs registration, admission, and benefits coordination services to new and returning patients. Patients are interviewed for the purpose of obtaining patient demographic and insurance information to determine eligibility for healthcare, alternate resources, and purchased referred care services. This position is located in Phoenix, AZ.

Duties

Determines the eligibility of patients seeking health care, who have not previously been treated at the facility, by obtaining the certification of Indian Blood quantum or other documentary proof of tribal membership, according to the I.H.S. guidelines. Incumbent will be required to deliver verbal and/or written messages of denial for health services if/when the patients cannot provide appropriate documentation of tribal enrollment. Collects patient's third-party recipient health cards, obtains photocopies of the card, and explains the program to the beneficiaries, including why Medicare, Medicaid, or the private/commercial insurance will be billed for the services they received at the I.H.S. facility. Assures and/or initiates timely entry of AHCCCS and Medicare information to augment outpatient/inpatient billing efforts and to enhance access to health services or other medical specialty care. Updates the RPMS and medical record data sets to reflect current alternate resource information. Works with Purchased Referred Care (PRC) in screening for eligibility for services. Assists patients with applications for alternate resources and interpreting rules and regulations of the agency and/or federal and state entities.

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-05 1 year of specialized experience that equipped me with the particular knowledge, skills and abilities to successfully perform the duties of this position. This experience is related to the work of the position and equivalent to at least the GS-04 level in the Federal service as described in the vacancy announcement. Examples of specialized experience include: Knowledge of, and skill in applying, comprehensive rules, regulations, techniques, and procedures sufficient to: Work with customers to resolve complaints, process orders, and provide information about an organization's products and services; Listen to customers' questions and concerns and provide answers or responses; Provide information about products and services; Review customer accounts and make changes, if necessary; Handle returns or complaints; Record details of customer contacts and actions taken; Refer customers to supervisors or more experienced employees. OR 4 years of education above the high school level NOTE: One year of fulltime 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. (TRANSCRIPTS REQUIRED) OR Combination of education and experience that when combined fully met the minimum qualifications for this position. GS-06 1 year of specialized experience that equipped me with the particular knowledge, skills and abilities to successfully perform the duties of this position. This experience is related to the work of the position and equivalent to at least the GS-05 level in the Federal service as described in the vacancy announcement. Examples include: Knowledge of, and skill in applying, an extensive body of rules and procedures concerning benefits processing sufficient to clarify benefit processes and procedures to customers; conduct personal or telephone interviews; search records or guidelines; provide full explanations in response to specific inquiries relating to the agency; resolve problems and issues; evaluate the extent of customers' knowledge of the options and choices open to them; explain the requirements placed on them by laws and regulations; and review records and contact other offices to learn the status of pending actions, the reasons for delays or changes, and what action or additional information is required to resolve the case. GS-07 1 year of specialized experience that equipped me with the particular knowledge, skills and abilities to successfully perform the duties of this position. This experience is related to the work of the position and equivalent to at least the GS-06 level in the Federal service as described in the vacancy announcement. Examples include: Knowledge of, and skill in applying, standardized rules, processes, and procedures concerning working with patients in a health care setting to resolve complaints, process paperwork associated with eligibility for health care. Knowledge must be sufficient to provide written and oral information to the public regarding eligibility requirements for health care benefit programs such as Medicare, Medicaid, Social Security Insurance, First Steps, and other similar resources to respond to inquiries from individuals as they relate to health services the medical facility can provide, solve problems or educate individuals about medical facility health programs and procedures. Ask questions to get a clear and accurate understanding of information sought by the public; and provide other support and assistance work in the office. 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

This position has an education requirement. You are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer.

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.

If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address Phoenix Service Unit 1616 E Indian School Rd Suite 360 Phoenix, AZ 85016 US
• Name: Chelsea Banteah
• Phone: 6023645219
• Email: [email protected]