Job Description
Provides support and technical assistance involving referrals for eligible beneficiaries to verify eligibility for Purchase Referral Care (PRC); enrolls patient in alternate resources benefits for which they may be eligible; contacts state agencies and sets up appointments to determine medical eligibility; coordination and management of referrals; works closely healthcare providers and members of the care team to communicate referral updates and appointment information to patients, acts as a liaison for both vendors and recipients of PRC. ESSENTIAL FUNCTIONS Reviews alternate resources prior to expenditures of PRC and alternative funds. Provides technical assistance to verify patients enrollment for all alternate resources benefits for which they may be eligible. Provides acts as a an advocate for patients in the utilization of alternate resources... Tracks, schedules and coordinates referrals to specialties.- add on other responsibilities Meets with patients to explain technical provisions of the PRC Program and third party billing procedures;. Coordinates with Patient Registration in screening for potential alternate resource eligibility, sets appointments; refers patients to Social Services and other disciplines. Compiles data on patients at other facilities (non-SCAHC) and updates information on the registration system specific to medical status (diagnosis, prognosis, and cost of health care, discharge status). Maintains correspondence and reports, answers telephones and personnel inquiries. Compile and maintain a schedule log for appointments made Assist in coordinating and scheduling transportation. Performs other duties as assigned. 6 months of related experience. High School Diploma or GED equivalent.; Associates Degree, preferred Indian Preference and Equal Employment Opportunity SCAHC gives preference in hiring to San Carlos Apache Tribal members and other Native Americans in accordance with the San Carlos Apache Tribe’s Tribal Preference Policy, as set forth in Section 402 of the Tribe’s Human Resources Department Policies and Procedures Manual. Otherwise SCAHC does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect him/her because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, citizenship, veteran status, military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, SCAHC complies with all applicable federal, and Tribal laws governing nondiscrimination in employment.