Job Details

Patient Benefits Coordinator

  2024-12-17     Indian Health Service     Chiloquin,OR  
Description:

Locations: Chiloquin, ORType:TribalSalary Range:$34,912 to $61,218 / Per YearOpen Period:6/19/2024 until filledSummary:Our Vision In service of its mission, Klamath Tribal Health & Family Services envisions a vibrant and healthy tribal community through the delivery of an accessible, high-quality, innovative, sustainable, and culturally-relevant healthcare program. Our Mission To advance the overall mission of The Klamath Tribes and the trust responsibilities of the Indian Health Service and the United States government by providing quality, comprehensive, patient-focused health care in a culturally-sensitive manner while eliminating disparities and barriers to health. Our Core Values Waq'lis ?i is a term from our language and means "How are you?" We have incorporated the word to help convey our core values to one another. Core values are the principles that guide our day-to-day behaviors, our decisions, our actions and our relationships with each other and with the people we serve.More info about area:Job Announcement Flyer:Duties:MAJOR DUTIES AND RESPONSIBILITIES 1. Determine eligibility of patients referred from Klamath Tribal Health & Family Services' staff. Provide a response describing initial action taken to the referring staff within one working week upon receipt of referral. Maintain a log noting all actions taken regarding referral. 2. Work closely with Patient Registration, Third Party Billing, Contract Health Services and other front line staff to ensure all patient information is current, accurate and that all alternate resources are utilized. 3. This position will provide back up for Patient Registration and assist in maintaining current and accurate patient data in the database being utilized by Klamath Tribal Health. This will involve interviewing and screening new and existing patients and informing Patient Registration staff so that the appropriate changes can be made. The Patient Benefits Coordinator may make the changes with approval from the supervisor. 4. Ensure maximal identification of persons who have or are eligible for alternate resources by effectively implementing screening and interview methods. 5. Work closely with all facility staff in identification and proper utilization of all alternate resources available to all patients who utilize the Klamath Tribal Wellness Center, giving emphasis to those who reside in the Klamath Tribes' Health Service area (Klamath County). Alternate Resources are those that provide direct health assistance for the client, for example Medicaid and Medicare. 6. Assist patients and their families with processing all applications for alternate resources, for example Medicaid and Medicare. Provide interpretation of the rules and regulations from the organization supplying the benefit, as well as the rules governing Tribal/IHS services. Review with patients what is covered and how to use those services. This may require occasional travel to the patient's home to acquire documentation or to interview the patient for additional information. 7. Transmit all applications for alternate resources to the appropriate agency; track and monitor the processing of applications. 8. Develop a follow up system to track all applications for alternate resources and to monitor renewal/end dates. Follow up to ensure deadlines are not missed. Please refer to the attached pdf for the complete listing of major duties and responsibilities and supervisor controls.Qualifications:Minimum Qualifications: Failure to comply with minimum position requirements may result in termination of employment. REQUIRED to possess a High School Diploma or Equivalent. (Must submit copy of diploma or transcripts with application.) REQUIRED to possess and maintain a valid Oregon Driver's License, (out of state applicants must receive ODL within 90 days of hire), have good driving record and be insurable by the Klamath Tribal Health & Family Services' vehicle insurance policy. (Must submit copy of driver license with application.) REQUIRED to acquire and maintain BLS certification within 180 days of hire; strongly recommend certification within 90 days of hire, probationary period will be extended for a maximum of 180 days pending certification. REQUIRED to have excellent communication skills; understanding of Tribal services, alternate health resources and service terminology. REQUIRED to drive in adverse weather conditions. REQUIRED to maintain strict patient confidentiality and adhere to the standards for behavioral health record-keeping and HIPAA requirements. REQUIRED to have recordkeeping skills with the ability to complete required documentation and required written follow-up. REQUIRED to submit to a background and character investigation, as per Tribal policy. Following hire must immediately report to Human Resource any citation, arrest, conviction for a misdemeanor or felony crime. REQUIRED to submit to annual TB skin testing and adhere to KTHFS staff immunization policy in accordance with the Centers for Disease Control immunization recommendations for healthcare workers. REQUIRED to accept the responsibility of a Mandatory Reporter in accordance with the Klamath Tribes Juvenile Ordinance Title 2, Chapter 15.64 and General Council Resolution #2005 003, all Tribal staff are considered mandatory reporters. Preferred Qualifications: Three (3) years' experience working in a medical office is preferred. Experience working with Native American programs is preferred. Experience working with medical/records management is preferred. Indian Preference: Indian and Tribal Preference will apply, as per policy. (Must submit tribal documentation with application to qualify for Indian Preference).Work Type:Permanent, FullAnnouncement #:KTHFS-24-PBC


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