This position is located within the Business Office of the Pawnee Indian Health Center in Pawnee, Oklahoma. The primary purpose of this position is to function as the Patient Benefit Coordinator, assuring the identification of patients who are eligible for alternate resources and assisting patients in obtaining those resources. The incumbent reports to the Business Office Supervisory Health System Specialist.

Duties

Interviews all patients eligible for Medicare, Medicare Part D, Medicaid programs and Private Insurance to ensure they understand their entitlements in IHS facilities. Verifies patient's alternate resource eligibility by contacting the nearest SSA or Department of Social Service (DSS) Office, State Medical Assistance Office, or Private Insurance Company, to verify the eligibility of patients. Assists families and individuals with applications for alternate resources, provides benefits information and interpretation of rules and regulations, and use of alternate resources. Works closely with facility staff to identify all alternate resources available to the Native American/American Indian population served. Serves as a liaison for the facility and patients who are enrolled in Medicare, Medicaid, and other third party insurance, etc.

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-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector. Examples include implementing screening and interview methods to obtain or verify information; assisting patients or customers with completing forms and interpretation of rules and regulations; and coordinating work with other organizations or parts of the organization. GS-07: Your resume must demonstrate at least 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 interpreting and applying private sector and government program regulations to assure procedures are properly applied for alternate resources programs such as Medicare and Medicaid; conducting in-depth patient interviews to determine eligibility for alternate health insurance resources; registering eligible patients in various programs; researching alternate resources; and prioritizing workload to complete multiple tasks within specified time frames. GS-08: Your resume must demonstrate at least 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 interpreting and applying private sector and government program regulations to assure procedures are properly applied for alternate resources programs such as Medicare and Medicaid, Affordable Care Act, VA Healthcare, Pharmacy Assistance Programs, etc; conducting in-depth patient interviews to determine eligibility for alternate health insurance resources; registering eligible patients in various programs; prioritizing workload to complete multiple tasks within specified time frames; 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; compiling data and writing reports; and 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 Pawnee Service Unit 1201 Heritage Circle Pawnee, OK 74058 US
• Name: Shelby Exum
• Phone: 9187626617
• Email: [email protected]