Patient Support Assistant

Under general supervision of the Purchased Referred Care (PRC) Referral Supervisor, the Patient Support Assistant assures PRC fiscal accountability working closely with various departments to ensure coordination between the referring PCP and specialist. Responsible for determining PRC eligibility and coordinating specialty medical service for Winslow Indian Health Care Center Inc. (Participates and follows PRC policy and guidelines to meet program goals. Uses appropriate, professional courtesy for all telephone interactions.Refers patients to Patient Benefits Coordinator (PBC) to apply for alternate resources when they are potentially eligible and documents efforts.Receives daily PRC notifications from patients and/or facilities by fax, phone, mail, email, or walk-ins. Assists in researching in the pertinent electronic record system to identify existing PRC client documentation records, date of service (DOS) per notification and to prevent any duplication. Notes PRC client record number, notifications and other documents for quick referencing and forwards to PRC Associate for processing.Assists PRC associates to gather the needed documents within the incumbent’s scope of work to determine and evaluate patient eligibility in accordance with WIHCC PRC six eligibility criteria: medical priority, residency, notification, alternate resources, Indian Decent, and appropriate ordering official.Assist in entering notes into RCIS Business Office Comments (BOC) sequencing events of actions taken for each case interaction, i.e. phone calls, providers, purposes, etc.Works with PRC Associates to gather data on a periodic basis to ensure proper follow-up which may include contacting vendors via telephone or written correspondence on status of purchase orders.Reports any high-risk cases or barriers to care to the RN Case Manager.evaluates program performance, and training needs.Provides front office assistant coverage during times of the staff absence.Assists with solving computer software and technical issues that may arise.Adheres to WIHCCs Personnel Policies and Procedures, departmental policies, rules, and regulations.Minimum Qualifications:High School Diploma or GED required. Associates Degree in business related field preferred. One year of work experience as a clerk in a structured business environment and ability to provide a high level of customer service required. Bilingual skills in English and Navajo language preferred. Must successfully pass a background investigation and maintain suitable requirements for a Child Care position. This position is considered as a Child Care position, which requires a satisfactory background check investigation and is subject to the requirements of the Indian Child Protection and Family Violence Prevention Act, as amended (henceforth referred as the ICPFVP Act).Knowledge of business English, proper spelling, grammar, punctuation, and basic arithmetic.Knowledge of Private Insurance, Medicare and Medicaid payment and reimbursement system.Knowledge of quality customer service.Knowledge of basic application of confidentiality.Knowledge of basic computer skills, e.g. Outlook, Word, Excel, PowerPoint.Ability to gather data, compiles information, and prepares reports.Ability to be dependable in attendance and job performance.Ability to meet attendance, overtime (if necessary), and other reliability requirements of the job.Ability to communicate effectively both verbally and in writing.Ability to provide exemplary customer service at all times.Ability to be flexible and adaptable to the changing needs of the organization.While performing the essential functions of this position, the employee is regularly required to walk, sit, use hands and fingers, handle, or feel objects and equipment, reach with hands and arms, and communicate effectively by talking and hearing. Work Environment:Work is performed in an office setting or outdoor work environment with a moderate noise level. Work environment may involve exposure to physical risks, such as blood borne pathogens and operating dangerous equipment or working with chemicals. Evening and/or weekend work may be required. Extended hours and irregular shifts may be required.If there is no qualified Navajo applicant, preference will be given to qualified American Indian applicants. #