This position will support the Federal Government's response efforts to COVID-19. This position is a Medical Support Assistant, Purchase Referred Care (PRC), located at the White Earth Service Unit, White Earth, MN. This position reports to the PRC Supervisor or Designee.

Duties

Initiates medical Authorizations to include hospitalization and professional fees for eligible Indian patients. Maintains denial correspondence files assuring that all appropriate documentation is included in file. Key enters information for automatic document control commitment registers for the health services funds allotted, which requires accurate accountability and a comprehensive knowledge of fiscal coding procedures. Provides the supervisor informal reports on fund status expenditures on a periodic basis. Contacts state agencies and other outside organizations to determine medical eligibility within the service unit jurisdiction. Cross compares proposed authorizations with sources prior to obligating funds for purchased referred care services. Reviews incoming invoices to determine if authorizations have been issued and if not, incumbent researches and takes appropriate action. Answers telephone and written inquiries regarding eligibility requirements, payments, outstanding charges, and other questions concerning the PRC program. Maintains strict confidentiality in responding to inquiries. Prepares routine correspondence and compiles information for periodic special reports.

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: One (1) year of specialized experience equivalent to at least the GS-04 grade level and/or 4 years above high school. GS-06: One (1) year of Specialized Experience equivalent to at least the GS-05 grade level. GS-07: One (1) year of Specialized Experience equivalent to at least the GS-06 grade level. Examples of Specialized Experience: GS-05: Respond to inquiries and requests through telephone, correspondence and personal visits; Apply funds control techniques; monitor and account for funds allotted; familiar with facility organizational departments and services provided; skill in understanding medical terminology; utilize automated patient management system. GS-06: Apply patient referred/care procedures and regulations, work with funding limitations and policies, technical, administrative and clerical functions related to the patient referral program; proper processing requirements including forms, authorization documents, correspondence and reports; Maintain obligation registers regarding funds for medical services. GS-07: Apply policies, procedures, rules and regulations when determining patient eligibility, availability of services and identification of fiscal resources; Manage funds control techniques to account for allotted funds and preparing statements and reports; operate an automated data program system for patient referral reporting, funds control techniques. Specialized Experience Defined: 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. 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 White Earth Service Unit 40520 County Hwy 34 Ogema, MN 56569 US
• Name: Donna Belgarde
• Phone: 218-214-6338
• Email: [email protected]