This position is located in the Administrative Services Branch, Business Office at Four Corners Regional Health Center, Red Mesa, AZ. The primary purpose of this position is to perform dual functions in Patient Registration, Patient Benefits Coordinator duties, identifying patients with eligibility for alternate resources, admission processes and updating pertinent demographic information. Incumbent reports to Supervisory Health System Specialist.

Duties

Interview patients for potential eligibility for services and to obtain registration information relating to alternate resources. Communicates to Medical Records to reactivate a retired/stored record and authorization to enable the Business Office to bill for health care services provided from all Alternate Resources, including the non-beneficiary services Determine the eligibility of patients seeking health care services. Identify, verify, and assist in contacting various Federal. State, and County agencies for eligibility. Assists patients in completing new or updated forms of the Patient Registration System. Obtains and verifies the health records and the Patient Registration System for Medicaid, Medicare and Private/Commercial Insurance eligibility for all patients seen prior to all clinic visits Assures and/or initiates timely entry of AHCCCS and Medicare information to augment outpatient billing efforts and to enhance access to health services or other medical specialty care. Position Re-announced to solicit for additional applicants. Applicants who previously applied have the option to update their application during the re-announcement.

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. For positions requiring positive education requirements, or if you are using education to meet all or part of the qualification requirements, you MUST submit a copy of your transcripts or an itemized list of college courses which includes equivalent information from the transcript (course title, semester/quarter hours, and grade/degree earned) in your resume. Experience and Education Requirements: BASIC REQUIREMENT(S): GS-5: Your resume must demonstrate at least one year of specialized experience at or equivalent to at least the GS-4 grade level in the Federal service obtained in either the private or public sector OR four years of education above high school. 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-05 Grade level: One (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: Provided written and oral communication to the public on insurance information; assisted patients and medical staff in completing forms, verified patient eligibility for benefits, e.g., dependent or active identification card, date of birth, certificate of service, etc.; apply standardized rules, processes and Procedures concerning claims processing; basic arithmetic sufficient to review claims and correct amounts of allowable items. Education: 4 years of education above the high school level. NOTE: 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. OR Combination of education and experience that when combined fully meet the minimum qualifications for this position. The total percentage must equal at least 100 percent to qualify an applicant for GS-05 grade level. GS-06 Grade Level: One (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 of Specialized Experience: interviewed patients or their representatives to identify problems relating to care; explained policies, procedures, or services to patients using medical or administrative knowledge; and/or refer patients to appropriate health care services. Education: Generally, not applicable 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

For positions requiring positive education requirements, you MUST submit a copy of your transcripts or an itemized list of college courses which includes equivalent information from the transcript (course title, semester/quarter hours, and grade/degree earned) in your resume.

When there is a positive education requirement, or you are using education to qualify as a substitution for experience, transcripts (unofficial) are required at the time of application to verify that you meet the educational requirement or substitution.
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 http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address Four Corners Regional Health Center HCR 61 Box 30 TeecNosPos, AZ 86514 US
• Name: Navajo Area IHS Human Resources
• Email: [email protected]