Purchased Referred Care Technician- Smith River (Del Norte)

Purchased Referred Care Technician- Smith River (Del Norte)

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Come join United Indian Health Services in providing Healthcare to our Native Community Headquartered in Arcata, California. United Indian Health Services operates seven Tribal Health Program outpatient clinics with medical, dental, behavioral health, vision and community health & welfare services across Humboldt and Del Norte counties. Our Vision of a healthy mind, body, and spirit, is embraced by those who founded our organization. UIHS brings members of the community together so they can not only be unified in ensuring the best care is provided to their families, but also help in preserving the Native culture through education, community outreach, and medicine. Serving the Tribal communities for fifty years we continue to grow and take pride in providing very high quality services to our Native American clients.

Job Title: Purchased Referred Care Technician

Section: Contract Health Services

Location: Smith River, Del Norte

Shift: Monday-Friday, 8:00am - 5:00pm

The Purchased Referred Care Technician position shall be responsible for initiating, tracking, and processing "payer of last resort" health insurance claims according to United Indian Health Services Contract Health Services (CHS) guidelines.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.

• Maintains Contract Health Service files.

• Determine if incoming CHS referrals are within the UIHS approved priorities. Ask for assistance from the Patient Accounting Manager when needed.

• Prepare and follow up on referrals that need medical and dental review.

• Determines if clients meet Contract Health Services eligibility requirements, including referral to Alternate Resources for screening and application if eligible. Also acquire a copy of Indian documentation for the CHS file.

• Communicates and corresponds with outside agencies and clients regarding claim submission.

• Communicates and corresponds with clients/providers regarding status of Contract Health Services claims.

• Communicates and corresponds with UIHS providers to clarify Contract Health Services referrals and address case status questions.

• Tracks Contract Health Services cases through the processes of: appointment, procedural scheduling, outcome, third party insurance eligibility determination, and final claims payment processing.

• Tracks and submits claim reimbursements through Contract Health Services.

• Prepare and submit Catastrophic Health Emergency Fund (CHEF) cases following guidelines from IHS. Notify supervisor of possible pending CHEF cases so they can be reported to the Patient Registration/CHS committee.

• Prepares periodic reports on claims reviewed, pending, and processed to completion.

SKILLS:

• Must have ability to operate computer system with standard and job specific office software packages.

• Ability to type 45wpm

• Must have ability to operate standard office equipment (typewriter, fax, copier, etc.).

• Must be able to work with American Indian people and be sensitive to their culture.

• Must possess ability to communicate both orally and in writing to a high level.

• Must have an understanding of basic medical terminology.

EDUCATION and/or EXPERIENCE: Educational degrees must be from a US Department of Education accredited school.

Level I

• Must have High school diploma or general education diploma (GED); and

• 0-1/yrs of clerical office or related experience that indicates the ability to learn the skills necessary to perform the duties of the position.

Level II

• Must have High school diploma or general education diploma (GED); and 1-3/yrs experience working with contract health or other related areas.

• Knowledge of contract health and able to perform the duties of the position.

• Ability to work independently and as part of a team.

• Experience in a health care setting preferred.

• Able to train level I.

Level III

• Must have High school diploma or general education diploma (GED); and 3+yrs of related experience and/or training in contract health services and has the ability to perform all the duties

of the position.

• Ability to work independently and as part of a team.

• Experience in health care setting preferred.

• Able to train level I or II.

TO APPLY:

•Visit http://unitedindianhealthservices.org/jobs/

•Download the UIHS employment application.

•Email your completed employment application to UIHS-Recruiting@crihb.org or send your printed application by fax to (707) 825-6747 or by mail to: Human Resources at 1600 Weeot Way, Arcata, CA 95521.

Please specify on the application the location to which you are applying.

DEADLINE: Open Until Filled

To view a full job description and see our other job opportunities visit our website at: http://unitedindianhealthservices.org/jobs/

This post not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by UIHS as deemed appropriate.