Administrative Assistant/Medical Support Assistant (PRC) Job at Winnebago Comprehensive Healthcare System
Winnebago Comprehensive Healthcare System Winnebago, NE 68071
Job Purpose & Position Overview
Provides part-time Administrative support to the Purchased Referred Care (PRC) Supervisor and part-time as a Medical Support Assistant (MSA). MSA will carry a part-time patient referral caseload. Verifies purchase referred care eligibility for the Native American patients using PRC regulatory criteria and also determines patient eligibility for third-party alternate resources. Initiates medical authorizations to include hospitalization and professional fees for eligible patients. Conducts on-site patient interviews to establish eligibility and completes and maintains application for medical care. Schedules medical appointments for patients with various hospitals and clinics. Verifies purchase referred care eligibility for the Native American patients using PRC regulatory criteria. Performs a combination of duties requiring knowledge of PRC.
Specific Job Duties/Responsibilities:
Demonstrates the Winnebago Tribes core mission, vision, and values.
Apply all PRC rules and regulations on PRC Delivery Areas, geographical facility proximity, tribal membership, and residence.
Assist Part time with the Appeal process obtaining claims from all vendors.
Participates and assist with running a daily PRC referral report, develop a referral excel spread sheet for the daily PRC Teaming Meeting.
Determines patient eligibility for alternate resources available under the PRC Program for Medicare, Medicaid, Vocational rehabilitation, V.A., private insurance or other third parties.
Administers day to day activities required of the PRC program by initiating PRC medical purchase orders.
Performs periodic reviews and audits of purchase orders for conformity to policy and regulations.
Makes patient transportation arrangements subject to regulations regarding purchases and the limitation of authorized funds. Insures that authorizations processed comply with established priority of services.
Assists with the reporting and closing out of Catastrophic Health Emergency Fund (CHEF) cases.
Posts allotments and obligations to proper accounts and establishes current balances on a daily basis making adjustments.
Schedules appointments, performs clerical duties related to patient referrals, admissions, and discharges.
Maintains a high ethical standards and conduct; and protects the organization by keeping informations confidential.
Duties listed are only an illustration of the various types of work performed. The omission of specific duties does not exclude them from the position if the work is similar, and related.
Qualifications/Skills:
Must possess a high school diploma or verifiable GED certificate.
Preference would be given to one year of college or relevant work experience.
Must possess computer experience relevant to duties of the position.
Incumbent will receive training on the Privacy Act and the use of confidential information and health records
Must possess computer skills that include Microsoft Office Excel, Word, Outlook, Publisher and PowerPoint.
Must possess an understanding of the Electronic Health Record and RPMS Systems used by the I.H.S to document patient care.
Knowledge of all Tribal Health Programs and Health Care experience is preferred.
Must perform all duties in a manner that ensures the strictest confidentiality due to access to sensitive information.
Must maintain a positive and professional attitude with the ability to effective handle tasks, situations and clients with tact, courtesy, respect, and objectivity.
Must recurrently employ moral and ethical judgments.
Must have excellent communication skills.
Must keep accurate daily, weekly and monthly reports
Training Requirements:
RPMS, EHR, NO Fear, HIPPA/Privacy Act, ISSA, Annual Fire Extinguisher, and others as assigned.
Physical Requirements:
Normal to light office work which includes the ability to lift up to 10 lbs.
Regularly required to walk, stand, and sit for extended periods of time and use hands to operate computer keyboard, phone, and various office equipment.
Cognitive Requirements:
Reading, writing, calculating.
Excellent social interaction skills.
Reasoning/Analysis
Ability to work effectively both independently and as a team.
Works with minimal to no supervision.
Language Requirements:
Must possess the ability to read, write, and speak the English language fluently.
Must be able to continually and effectively employ professional verbal and written communications skills.
Certificates, Licenses & Registrations:
All applicants will comply with 45 CFR 1301, Subpart D, Section 1301.31, C and D, which require all prospective employees to sign a declaration prior to employment regarding all arrests and convictions of child abuse or violent felonies and to comply with PL 101-630 and PL 101-637 regarding criminal records check.
WCHS is an equal opportunity employer. Employment practices are free of discrimination. As provided by Federal Law, all qualified Native American applicants shall receive preference over Non-Native American applicants. In the absence of qualified Native American applicants, consideration will be given to all other applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, veteran status, genetic information, disability or any other reason prohibited by law in provision of employment opportunities and benefits.
Please Note :
blog.nvalabs.org is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, blog.nvalabs.org provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.
Provides part-time Administrative support to the Purchased Referred Care (PRC) Supervisor and part-time as a Medical Support Assistant (MSA). MSA will carry a part-time patient referral caseload. Verifies purchase referred care eligibility for the Native American patients using PRC regulatory criteria and also determines patient eligibility for third-party alternate resources. Initiates medical authorizations to include hospitalization and professional fees for eligible patients. Conducts on-site patient interviews to establish eligibility and completes and maintains application for medical care. Schedules medical appointments for patients with various hospitals and clinics. Verifies purchase referred care eligibility for the Native American patients using PRC regulatory criteria. Performs a combination of duties requiring knowledge of PRC.
Specific Job Duties/Responsibilities:
Demonstrates the Winnebago Tribes core mission, vision, and values.
Apply all PRC rules and regulations on PRC Delivery Areas, geographical facility proximity, tribal membership, and residence.
Assist Part time with the Appeal process obtaining claims from all vendors.
Participates and assist with running a daily PRC referral report, develop a referral excel spread sheet for the daily PRC Teaming Meeting.
Determines patient eligibility for alternate resources available under the PRC Program for Medicare, Medicaid, Vocational rehabilitation, V.A., private insurance or other third parties.
Administers day to day activities required of the PRC program by initiating PRC medical purchase orders.
Performs periodic reviews and audits of purchase orders for conformity to policy and regulations.
Makes patient transportation arrangements subject to regulations regarding purchases and the limitation of authorized funds. Insures that authorizations processed comply with established priority of services.
Assists with the reporting and closing out of Catastrophic Health Emergency Fund (CHEF) cases.
Posts allotments and obligations to proper accounts and establishes current balances on a daily basis making adjustments.
Schedules appointments, performs clerical duties related to patient referrals, admissions, and discharges.
Maintains a high ethical standards and conduct; and protects the organization by keeping informations confidential.
Duties listed are only an illustration of the various types of work performed. The omission of specific duties does not exclude them from the position if the work is similar, and related.
Qualifications/Skills:
Must possess a high school diploma or verifiable GED certificate.
Preference would be given to one year of college or relevant work experience.
Must possess computer experience relevant to duties of the position.
Incumbent will receive training on the Privacy Act and the use of confidential information and health records
Must possess computer skills that include Microsoft Office Excel, Word, Outlook, Publisher and PowerPoint.
Must possess an understanding of the Electronic Health Record and RPMS Systems used by the I.H.S to document patient care.
Knowledge of all Tribal Health Programs and Health Care experience is preferred.
Must perform all duties in a manner that ensures the strictest confidentiality due to access to sensitive information.
Must maintain a positive and professional attitude with the ability to effective handle tasks, situations and clients with tact, courtesy, respect, and objectivity.
Must recurrently employ moral and ethical judgments.
Must have excellent communication skills.
Must keep accurate daily, weekly and monthly reports
Training Requirements:
RPMS, EHR, NO Fear, HIPPA/Privacy Act, ISSA, Annual Fire Extinguisher, and others as assigned.
Physical Requirements:
Normal to light office work which includes the ability to lift up to 10 lbs.
Regularly required to walk, stand, and sit for extended periods of time and use hands to operate computer keyboard, phone, and various office equipment.
Cognitive Requirements:
Reading, writing, calculating.
Excellent social interaction skills.
Reasoning/Analysis
Ability to work effectively both independently and as a team.
Works with minimal to no supervision.
Language Requirements:
Must possess the ability to read, write, and speak the English language fluently.
Must be able to continually and effectively employ professional verbal and written communications skills.
Certificates, Licenses & Registrations:
All applicants will comply with 45 CFR 1301, Subpart D, Section 1301.31, C and D, which require all prospective employees to sign a declaration prior to employment regarding all arrests and convictions of child abuse or violent felonies and to comply with PL 101-630 and PL 101-637 regarding criminal records check.
WCHS is an equal opportunity employer. Employment practices are free of discrimination. As provided by Federal Law, all qualified Native American applicants shall receive preference over Non-Native American applicants. In the absence of qualified Native American applicants, consideration will be given to all other applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, veteran status, genetic information, disability or any other reason prohibited by law in provision of employment opportunities and benefits.
Please Note :
blog.nvalabs.org is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, blog.nvalabs.org provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.