This position serves as a Medical Support Assistant (OA) and responsible for support of the Purchased Referred Care program, it's associated services and network activities. This position is supervised through Supervisory Health System Specialist for Purchase Referred Care Dept., located at the Fort Yuma Service Unit, Winterhaven, CA.

Duties

Major Duties: Initiates and distributes medical authorizations to determine patient eligibility. Assists in maintaining a tracking system for high cost case management. Keeping up to date pending and completed patient files, with documented status of all written and verbal transactions. Assists with reporting of Catastrophic Health Emergency Fund cases by obligating funds. Obtaining and compiling statistical data through computer data and provide findings to supervisor.

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-5: 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: Respond to inquiries and requests through telephone, correspondence and personal visits. Experience in funds control techniques, monitoring and accounting for funds allotted OR Education: Successfully completed 4 years of education above the high school level in any field for which high school graduation or the equivalent is the normal prerequisite. 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. Transcripts must be submitted with application OR Combination of education and specialized experience: Equivalent combinations of successfully completed post high school education and experience may be used to meet total experience requirements. This education must have been obtained in an accredited business, secretarial or technical school, junior college, college or university. 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. Transcripts must be submitted with application. GS-6: 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: 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. GS-7: 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: Experience in applying 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. 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 Fort Yuma Service Unit 401 E. Picacho Road Winterhaven, CA 92283 US
• Name: Phoenix Area IHS Human Resources
• Email: [email protected]