This position is organizationally located in the Purchased/Referred Care (PRC) Branch of the Fort Yates Service Unit, Indian Health Service (IHS). The function of the PRC Branch is to manage a PRC health delivery system. The purpose of this position is to provide support and technical assistance to specialists in the provision of PRC health care to Indian beneficiaries.

Duties

Responsible for assisting in determining patient eligibility, scope and priority for the PRC program. Works as part of the Service Unit PRC team in the planning, coordination, and management for the health care delivery system. Responsible for keeping up-to-date pending and completed PRC patient files, with documented status of all written and verbal transactions. Responsible for entering and verifying all PRC authorizations, payments, cancellations and supplements.

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): Medical Support Assistance Series 0679 (opm.gov) Medical Support Assistance Series 0679 Individual Occupational Requirements There are no Individual Occupational Requirements for this series. 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: GS-4: 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. GS-5: 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: knowledge of clinic procedures for receiving and following through on patient referrals, scheduling appointments, knowledge of various hospital departments and services, medical terminology, knowledge of RPMS and issuance of medical purchase orders using correct coding and obligation amounts, must be able to articulate and communicate processes of PRC effectively. GS-6: one year of full-time specialized experience comparable in difficulty and responsibility to the GS-05 grade level that equipped mewith the knowledge, skills and abilities to successfully perform the duties of this position. Examples include: knowledge of PRC procedures and regulations, completing work within assigned deadlines, working knowledge of funding limitations and policies, technical knowledge in carrying out the duties and functions of the department, administrative and clerical functions related to the PRC program, knowledge of the CHEF cases reporting and assist in close out of cases, knowledge of proper processing requirements including referrals, authorization documents and issuance of medical purchase orders and denials using correct coding and amounts. You must meet all qualification requirements within 30 days of the closing date of the announcement.

Education

There are no education requirements.

Contacts

• Address Standing Rock Service Unit Box J 010 North River Road Fort Yates, ND 58538 US
• Name: Joseph Dudley
• Phone: 605-226-7203
• Email: [email protected]