Position: Purchased Referred Care Assistant

 

Location: S/M Health Center

Salary: $15.00 Non-Exempt 

Posting Date:  1-14-22


Closing Date: 1-21-22

 

Pay Grade: 3

Every employee of Stockbridge Munsee Community is expected to present themselves in a professional manner to customers as well as other departments. Stockbridge Munsee Community strives to provide a provide a positive team environment where everyone contributes.

STANDARD QUALIFICATIONS

All employees of Stockbridge Munsee Community must meet the following qualification:

  1. Must submit to and pass a pre-employment drug and health screening.
  2. Must be at least 18 years of age, unless otherwise stated on job description
  3. Must maintain an acceptable departmental attendance record
  4. Must be able to work weekends, nights and holidays
  5. Must obtain and maintain Elder/Youth License as stated on job description.
  6. Must be COVID 19 fully vaccinated and remain up to date with required doses.

GENERAL RESPONSIBILITIES

The PRC Assistant will be responsible for the general operation of the Stockbridge-Munsee Contract Health Services Program.  The PRC Assistant works under the direct supervision of the PRC Manager and oversees the functions of PRC Department in absence of PRC Manager.

DUTIES

  1. Oversee the functions of PRC Department in absence of PRC Manager.
  2. Obtain detailed client information to determine client’s eligibility for the     Stockbridge-Munsee PRC Program.
  3. Respond to all inquiries from clients and outside health services provider(s) concerning program eligibility, billing, and other related issues.
  4. Responsible for authorizing referrals for determination of payments.

    Maintain a record keeping system of data for eligibility of PRC Program..
  5. Maintain working knowledge of alternate resources available and refer clients for assistance.
  6. Use the EHR system for maintaining patient information, process vouchers, and other required reports/forms for the PRC program.
  7. Reply and maintain correspondences with providers and patients using letters, email, fax etc.
  8. Prepare reports as directed
  9. Prepare client vouchers and bills for payment or denial.
  10. Must maintain an acceptable departmental attendance record.
  11. Must be reliable and prompt when reporting to work.
  12. Required to attend job related, in-service, meetings, and training to maintain professional and technical knowledge.
  13. Must adhere to tribal law and other applicable laws as well as tribal personnel policies and procedures.
  14. May be required to satisfactorily complete an exam or other testing requirement(s) to determine skill proficiency.
  15. The above duties and responsibilities are not an all inclusive list but rather a general representation of the duties and responsibilities associated with this position.  The duties and responsibilities will be subject to change based on organizational needs and/or deemed necessary by the supervisor.

QUALIFICATIONS

  1. Must be at least 18 years old with a High School Diploma or GED.
  2. High organizational skills required.
  3. Six months experience with Microsoft Office Suites such as Word, Excel, and Outlook is required, and experience with Access database, PowerPoint for minimum of six months is preferred.
  4. One year data entry experience is required.
  5. Knowledge of the Indian Health Service Contract Health Program preferred but not required.
  6. Must be able to work within an environment of strict confidentiality and adhere to strict policy pertaining to confidential matters.
  7. Ability to work with a minimum of supervision.
  8. Understand rules and regulations of Medicare, Medicaid, third party insurance, and other state health insurance programs, etc.
  9. Knowledge of office machines and computer helpful.
  10. Must be willing to attend all applicable training.
  11. Must pass pre-employment drug and health screening.  Must adhere to the Tribe’s Drug and Alcohol Free Workplace Policy during the course of employment.
  12. Must be eligible for coverage under the employer’s liability insurance.
  13. Must have demonstrated ability to maintain satisfactory working record in any prior or current employment.
  14. Must submit and pass a background security check to meet the Elder/Youth License Requirement as it pertains to the position and the location of the department prior to and during the course of employment with the Stockbridge-Munsee Community.
  15. Must be able to meet physical requirements of position.
  16. Must abide by departmental and organizational safety, testing, and uniform guidelines.

SPECIAL QUALIFICATIONS

  1. Excellent communication with the public a must.
  2. Knowledge of other fiscal resources that clients may be eligible for preferred but not required.
  3. Physical effort and work environment-Work is performed in an office environment and requires no more than normal physical discomforts or distractions

SPECIAL QUALIFICATIONS

  1. This position requires a lot of sitting with occasionally stoop, kneel, crouch, and lift and/or move up to twenty-five (25) pounds.
  2. Evening and/or weekend is required. Extended hours and irregular shifts may be required.
  3. Work environment requires excellent personal hygiene due to working in close proximity to others and in an enclosed area.
  4. A Tuberculosis (TB) Screening and/or TB Skin Test may be required.

Print Job Description 

WE ARE A DRUG FREE EMPLOYER CANDIDATES MUST PASS DRUG SCREEN AND REMAIN DRUG FREE

 

The Stockbridge Munsee Community operates as an equal opportunity employer. Except Indian Preference is given in accordance with the Tribal Employment Preference Ordinance.

 

Although an interview may be granted, this does not determine that the candidate fully meets the qualifications until it is determined by the interview team.