Medical Support Assistant

4 weeks ago


Cass Lake, Minnesota, United States Department Of Health And Human Services Full time
Summary

This position is organizationally located in the Purchased Referred Care (PRC) Branch of the Cass Lake Indian Hospital. The function of the PRC Branch is to manage a Purchased Referred Care Delivery System. The purpose of this position is to provide support and technical assistance to specialists in the provision of PRC to Indian beneficiaries. This position is located in Cass Lake, Minnesota in the Bemidji area.



Duties
  • Initiates and distributes medical authorizations including both hospitalizations and professional fees after determining patient eligibility for Purchased Referred Care (PRC).
  • Assure adequate funds are set aside for all authorized referrals, emergency call-ins and follow up care referrals.
  • Responsible for keeping up-to-date pending and completed PRC patient files, with documented status of all written and verbal transactions.
  • Maintains denial correspondence files including supporting documentation and insures that reconsideration requests are made available to the appropriate supervisor in a timely manner.
  • Incumbent must have knowledge of computer applications relating to PRC program, including the responsibility for entering and verifying all PRC authorizations, payments, cancellations and supplements.


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