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Medical Support Assistant

5 months ago

Lockport, United States Indian Health Service Full time

Determine eligibility of patients for Purchased Referred Care (PRC) and prepare authorization or denial documents based on applicable PRC regulations, policies, and practices.
Prepare referrals with correct patient information, medical report, and estimated charges of medical care.
Monitors activities and records pertaining to the fiscal management of Purchased Referred Care (PRC).
Functions in a liaison capacity to both vendors and recipients of PRC by telephone, electronic mail, and written correspondence.
Explains and interprets regulations and policies to health service providers and recipients as well as IHS personnel.