DEPARTMENT: Business Office
REPORTS TO: Business Officer Manager
SALARY: D.O.E.
JOB STATUS: Full-time/Non-exempt/permanent
OPEN DATE: 02/26/2024
CLOSE DATE: Until Filled
JOB SUMMARY:
The incumbent is responsible for identifying all patients that are eligible for alternate resources, assist them in applying for alternate resources, will act as an advocate for the patients, will follow up on all patient applications for benefits and alternate resources, and perform community outreach activities, on an individual and group basis, to inform patients of alternate resources that they could potentially qualify for and assist them in applying for such resources
DUTIES AND RESPONSIBILITIES:
Acts as an advocate for Native American patients in securing alternate resources such as Medicare, Medicaid, Department of Veterans Affairs, State Programs, Third Party Liability, and Children’s Special Health Services to name a few.
Identify patients who may be eligible for alternate resources through the effective utilization of screening and interviewing methods.
Works closely with all facility staff in the identification and utilization of all alternate resources available to the Indian population.
Assists families and individuals in applying for an alternate resource.
Interviews patients using established criteria.
Works closely with the Social Security Administration on local and regional levels.
Works closely with the Reservation Welfare and Tribal Medicaid offices to establish eligibility for alternate resources.
Works closely with 1st Impressions/patient registration staff, at Wind River Family & Community Health Care Clinics.
Works with Social Services and other entities that may assist in the development of a registry of eligible patients.
Assist patients with applications for alternate resources, which may include helping arrange transportation and interpretation of rules and regulations set forth by programs such as Medicare, and Medicaid.
Follow up on all assigned pending applications.
Works closely with families and agencies as an advocate for the Indian patient to make sure that he/she is not discriminated against.
Must be willing to become a Certified Application Counselor through ACA Marketplace.
Must be willing to travel several times a week to collect from patients’ information required to complete the alternate resources applications.
Must be willing to assist other Benefit Coordinators in the collection of information needed to process applications.
Other duties as assigned.
QUALIFICATIONS:
High School Diploma or GED
An associate degree in health care, business or related field preferred not required.
Certification through CMS (Center for Medicare and Medicaid Services) preferred.
One year of medical office experience preferred.
Experience with RPMS (Electronic Health Record) preferred.
Must demonstrate knowledge of the State Medicaid program or the ability to learn the Wyoming rules and regulations pertaining to the Medicaid program.
Ability to learn the RPMS system and competent in computer programs, such as MS Word, Excel, and Google applications i.e., Google sheets, Gmail as well as use standard office equipment.
Knowledge of HIPAA standards.
Be able to effectively communicate and possess a high level of organizational skills.
Must possess a valid driver license and be eligible for coverage under WRFCHC’s auto insurance policy.
Must be able to pass a criminal background check under the Indian Child Protection Act and Family Act (P.L.101-630).
EMPLOYEE BENEFITS:
Competitive wages (no state or local tax)
18 different medical insurance packages
Dental and vision insurance
Life insurance
Retirement plan with 4% match
Leave Benefits
IMPORTANT APPLICATION CRITERIA:
- Submit a complete application with supporting documents either online or to WRFCHC Human Resource Department located at 120 North 6th East St (Old DFS Bldg.), Riverton WY. Applicants must submit all supporting documents to be eligible for the position they are applying for.
- Supporting documents: Driver’s License, Tribal ID, High School Diploma/GED, Degree or professional credentials, and other supporting documents that verify required qualifications.
- Applicants not living in the local area may submit a cover letter, resume, and supporting documents in lieu of an application as an initial statement of interest for a particular job announcement. However, the applicant must follow-up with an official Wind River Family and Community Health Care job application.
- Applicants who have a current application on file are required to submit a letter of interest for each position in which they want to be considered for. The letter should address how they meet each qualification. Supporting documents must be attached to the letter of interest.
- Telephone calls are not accepted in place of an employment application or letter of interest.
- When the position qualifications require a driver’s license, education, or professional credentials, the applicant must submit copies of certificates, licenses, degrees, and other supporting documentation. Applicants who do not provide supporting documents will be disqualified.
- WRFCHC is an Equal Opportunity Employer. Preference will be given to a qualified tribal member, then a qualified tribal member of a federally recognized tribe and then other qualified candidates.
- Qualified Indian Preference applicants must provide a copy of their tribal enrollment identification card or a Certificate of Indian Blood.
- Background investigation, drug and alcohol screening are required as a condition of employment. Refusal will render the applicant ineligible for employment.
For information or questions, please contact Human Resources at 307-856-9281 ext. 367.