MCSG Technologies Hiring For Medical Support Assistant at El Reno, OK  Full Time

JOB SUMMARY: This position provides support for the El Reno Indian Health Center with Indian Health Services.

PRIMARY DUTIES:

• Initiate medical authorizations to include hospitalization, emergency room, outpatient surgery and professional fees for eligible beneficiaries.
• Key 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 department supervisor reports on fund status expenditures on a periodic basis.
• Contact state agencies and other outside organizations, by telephone or online to determine medical eligibility within the service unit jurisdiction.
• Cross compare proposed authorizations with sources for accurate obligation of funds.
• Provide PRC orientation to health service vendors, recipients, as well as service unit personnel, to insure that they possess a good understanding of the program methods, policies, procedures, and regulations.
• Conduct on-site patient interviews to establish eligibility and completes and maintains eligible applicant applications for medical care.
• Verify records of residence for applications by addressing inquiries to a variety of sources.
• Review incoming invoices to determine if authorizations have been issued and if not, incumbent researches and takes appropriate action.
• Verify contract health eligibility for Indian Patients using PRC regulatory criteria and also determine patient eligibility for third-party alternate resources.
• Review Fl “pend” lists and follows up on requirements for service unit action.
• Participate in Review Committee meetings regarding approval for PRC services
• Key data into the CHMS data system for issuing purchase orders.
• Participate with the Health System specialist in the development of local PRC procedural guides, compiles and interprets various alternate resource references and guides.
• Provide support in the development and presentation of the local preliminary and supplemental PRC budget.
• Answer telephone and written inquiries regarding eligibility requirements, payments, outstanding charges, and other questions concerning the PRC Program.
• Maintain strict confidentiality in responding to inquiries.
• Type material from draft form using word processing automation.
• Maintain appropriate files and performs other office clerical support work as required.

REQUIREMENTS: Background check required

SECURITY CLEARANCE: Public Trust

This position is currently accepting applications.

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.