Contact Representative

1 month ago


Phoenix, Arizona, United States Indian Health Service Full time
This position is being re-advertised to solicit additional applications. Applicants who applied previously need not reapply unless submitting updated and/or missing information.

Determines the eligibility of patients seeking health care, who have not previously been treated at the facility, by obtaining the certification of Indian Blood quantum or other documentary proof of tribal membership, according to the I.H.S.

guidelines.

Incumbent will be required to deliver verbal and/or written messages of denial for health services if/when the patients cannot provide appropriate documentation of tribal enrollment.

Collects patient's third-party recipient health cards, obtains photocopies of the card, and explains the program to the beneficiaries, including why Medicare, Medicaid, or the private/commercial insurance will be billed for the services they received at the I.H.S.

facility.

Assures and/or initiates timely entry of AHCCCS and Medicare information to augment outpatient/inpatient billing efforts and to enhance access to health services or other medical specialty care.

Updates the RPMS and medical record data sets to reflect current alternate resource information.
Works with Purchased Referred Care (PRC) in screening for eligibility for services.

Assists patients with applications for alternate resources and interpreting rules and regulations of the agency and/or federal and state entities.



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