General Clerk III Prc - OCAO - IHS

MCSG Technologies•Oklahoma City, OK

3d•Onsite

About The Position

The General Clerk III provides technical support to the Purchased/Referred Care (PRC) program within the Purchased/Referred Care delivery area for unassigned patients within the Shawnee Service Unit who reside in Cleveland, Oklahoma, and Logan Counties. The role coordinates patient correspondence, identifies applicable alternate resources, provides PRC orientation to health service providers and recipients, and supports customer service through call-center and in-person communications. The position coordinates PRC referral appointments, obtains dates of service for payment, and issues obligations for associated care charges. It uses electronic systems to administer the PRC program and may perform purchase-order and financial-intermediary reporting, process and close/export EOBRs, and assist with coordination of the Catastrophic Health Emergency Fund. Duties may change based on team skillsets and program needs. The clerk must maintain confidentiality, comply with PRC records-management requirements, and complete other related projects in a timely manner.

Requirements

Excellent communication skills.
Background check required.
Public Trust security clearance required.
Maintain strict confidentiality and comply with PRC records-management requirements.

Responsibilities

Coordinate correspondence for PRC patients.
Use appropriate screening tools during patient discussions to identify alternate resources patients may apply for or use to pay for care before PRC.
Provide PRC orientation to health service providers and recipients so they understand PRC requirements.
Deliver customer service through call-center calls and face-to-face communications at the Oklahoma City Area Office and alternate locations represented by Indian Health Service.
Coordinate PRC referral appointments in a timely manner.
Acquire dates of service for payment and issue obligations for charges associated with care.
Quickly acclimate to the electronic systems used to administer the PRC program.
Resolve monthly undelivered purchase orders older than 365 days from issuance, excluding reconciliation actions, as needed.
Work on the Fiscal Intermediary Pend Report monthly and/or weekly, as needed.
Prepare monthly reports of purchase-order actions and daily reports of purchase orders issued in the morning, as needed.
Ensure purchase orders are signed daily.
Process EOBRs daily and close/export them daily.
Prepare other data reports as requested.
Assist with coordination of the Catastrophic Health Emergency Fund (CHEF) for the Shawnee Service Unit PRC program, as needed.
Coordinate weekly purchase-order reports to providers and/or all-purchase-order reports sent to providers every other month, as needed.
Maintain strict confidentiality when responding to inquiries and communicating within the scope of the position.
Adhere to record-management requirements for PRC documents of record.
Perform other related PRC projects in a timely manner.