Medical Support Assistant

4 weeks ago


Mashpee, United States Department Of Health And Human Services Full time
Summary

This Vacancy Announcement will be used to fill multiple vacancies at each of the locations included and may be used for additional locations as new vacancies occur.



Duties

  • 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.


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