JOB SUMMARY: Provide Medical Support Assistant services for the PRC Department at the Clinton Indian Health Center. PRIMARY DUTIES: Responsible for verifying patient eligibility in receiving routine Medical Referrals and/or emergency call-ins for treatment rendered by reviewing documentation in the patient registration regarding eligibility and alternate resources availability for services rendered. Responsible for coordination of and provision of patient education regarding the PRC program and associated requirements for eligibility. Responsible for interpretation of medical bills and explanation of benefits received from patients and medical providers. Assist in processes all authorizations and provides information to the Fiscal Intermediary, Blue Cross Blue Shield of New Mexico, regarding authorization of payment. Responsible for collecting accurate health insurance information from patients to ensure IHS is payer of last resort. Assists in scheduling of patient appointment for PRC referred care and ensures proper follow up with the vendor to ensure patient's care is coordinated in a seamless fashion. Assist in patient inquires, both in person and via phone, and ensures each inquiry is answered in a timely and customer service friendly approach. Ensures patients are informed on the priorities for services based on policy and procedure of the Clinton Indian Hospital IHS PRC program. Answers incoming department phone calls, responding to voicemail messages left by staff and patients for the departments, and calling out to staff and patients as needed for the purposes of relaying pertinent information for patient care coordination. Other duties assigned.
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Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed