General Clerk II

General Clerk II

Koniag Advisory Business Solutions, LLC, a Koniag Government Services company, is seeking a General Clerk II to support KABS and our government customer at Poplar, MT. This position requires the candidate to be able to obtain a Public Trust.

This position is covered under the Service Contract Act. We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, paid holidays, paid vacation, paid sick leave and more.

We are seeking an experienced General Clerk II to provide advanced administrative support for the Purchased Referred Care (PRC) program within the Billings Area Indian Health Service (BAIHS). This position requires specialized knowledge of PRC eligibility requirements and systems and plays a critical role in ensuring patients receive appropriate healthcare coverage and authorization.

Essential Functions, Responsibilities & Duties

• Assist in determining patient eligibility, scope of benefits, and priority levels for the PRC program
• Review and analyze patient applications and supporting documentation
• Apply PRC program guidelines and regulations to make eligibility determinations
• Ensure compliance with federal Indian Health Service policies and procedures
• Respond to complex PRC inquiries and requests via telephone, written correspondence, and in-person consultations
• Provide detailed explanations of PRC benefits, limitations, and procedures to patients and families
• Serve as a resource for PRC program information and guidance
• Maintain professional communication with healthcare providers, patients, and families
• Maintain comprehensive follow-up systems for Contract Health Services (CHS) patient files
• Track patient cases from initial application through completion of services
• Ensure timely processing of referrals and authorizations
• Monitor case progress and coordinate necessary follow-up actions
• Ensure proper allocation of funds for patient referrals, emergency call-ins, and follow-up care
• Monitor budget constraints and funding availability for PRC services
• Enter and verify authorizations, payments, cancellations, and supplements in PRC computer systems
• Maintain accurate financial records and documentation
• Process payment authorizations and modifications as required
• Utilize PRC information systems for data entry, retrieval, and reporting
• Maintain accurate and up-to-date patient records in electronic systems
• Generate reports and track program metrics as needed
• Ensure data integrity and security compliance

Required Qualifications

• Meet minimum qualification requirements as outlined in prime contract
• Advanced knowledge of PRC program regulations, eligibility criteria, and procedures
• Strong analytical and problem-solving skills
• Excellent verbal and written communication skills
• Proficiency in PRC computer systems and database management
• Ability to interpret and apply complex program guidelines
• Strong attention to detail and accuracy in financial transactions

Preferred Qualifications

• Previous experience with Indian Health Service or tribal healthcare systems
• Knowledge of federal healthcare programs and regulations
• Experience with contract health services or similar programs
• Background in healthcare administration or patient services

Additional Requirements

• Successful completion of background check
• Compliance with all IHS policies and procedures
• Adherence to HIPAA privacy and security requirements
• Participation in site-specific orientation and competency assessments
• Computer security training and compliance
• Ability to handle sensitive financial and medical information
• Position may involve coverage at multiple BAIHS locations
• Must be flexible to support continuous service delivery
• May be required to assist with emergency authorizations outside normal business hours

Security Requirement

• Ability to obtain a Public Trust

Working Conditions

• Healthcare office environment with frequent patient interaction
• Regular use of computer systems and office equipment
• May require coordination with multiple departments and external providers
• Fast-paced environment with multiple priorities and deadlines

Our Equal Employment Opportunity Policy The company is an equal opportunity employer. The company shall not discriminate against any employee or applicant because of race, color, religion, creed, ethnicity, sex, sexual orientation, gender or gender identity (except where gender is a bona fide occupational qualification), national origin or ancestry, age, disability, citizenship, military/veteran status, marital status, genetic information or any other characteristic protected by applicable federal, state, or local law. We are committed to equal employment opportunity in all decisions related to employment, promotion, wages, benefits, and all other privileges, terms, and conditions of employment.