Purchase Referred Technician US BASED APPLICANTS ONLY; NO SPONSORSHIP AVAILABLE

Warm Valley Health Care•Fort Washakie, WY

10d

About The Position

The PRC Technician supports the Purchased/Referred Care department by performing clerical duties, processing referrals, verifying patient eligibility, and coordinating required documentation for prior authorizations. This position ensures timely and accurate data entry, effective communication with patients and providers, and strong adherence to confidentiality and compliance standards.

Requirements

High School diploma or GED.
Minimum 3 years of clerical or receptionist experience in a medical or business setting.
Strong communication, organizational, and computer skills.
Ability to manage complex situations, apply critical thinking, and work independently.
Culturally sensitive to Native American populations.
Self-motivated and able to prioritize tasks effectively.
Must pass pre-employment drug screening.
Successfully pass the employment background check.

Nice To Haves

Experience with Electronic Health Records (EHR) preferred.

Responsibilities

Request, collect, and review medical documents from providers.
Verify primary insurance, alternate resources, and contract health eligibility.
Initiate and distribute medical authorizations; determine patient eligibility for direct and contract services.
Maintain tracking systems for high-cost cases and CHEF fund submissions.
Organize and maintain denial correspondence files with complete documentation.
Conduct patient interviews to verify residence and eligibility.
Participate in CHS review committee meetings.
Manage and update patient profiles, consents, and documentation required for referrals and prior authorizations.
Respond to PRC inquiries by phone, correspondence, or in person.
Provide information regarding PRC services to patients and community members.
Enter and maintain accurate client data and organized files.
Uphold strict confidentiality and compliance with HIPAA regulations.
Perform other duties as assigned.