Contact Representative (PRC)

Indian Health Service; Eagle Butte (SD); On-site; USD 60,000 - 80,000; Full time

Job summary

Indian Health Service - Cheyenne River Health Center in Eagle Butte, South Dakota is seeking qualified candidates for a federal eligibility specialist role. The position requires identifying and verifying patient eligibility for Medicare, Medicaid, SSA benefits, tribal programs, and other assistance resources.

You will interview patients, assist with benefit applications, and coordinate referrals with healthcare facilities to support continuity of care.

Qualifications

• GS-06: 1 year of specialized experience in determining patient eligibility for Medicare/Medicaid/tribal programs and processing claims.
• GS-07: 1 year of specialized experience determining eligibility and issuing medical authorizations; coordinating referrals.
• GS-08: 1 year of specialized experience applying regulations to eligibility and funding determinations; fiscal accountability.

Responsibilities

• Identify and verify patient eligibility for government and tribal programs.
• Interview patients for required documentation and assist with benefit applications.
• Review records, resolve discrepancies, and follow up on pending claims and funding.

Job description

Join our mission at the Cheyenne River Health Center, a premier HHS/IHS facility delivering safe, confidential, and high-quality healthcare. Located in Eagle Butte,South Dakota, our hospital provides timely, accessible medical services integrated with robust community education and preventative care. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week.

MINIMUM QUALIFICATIONS:

GS-06:

Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: identifying and verifying patient eligibility for Medicare, Medicaid, SSA benefits, private insurance, Tribal programs, and other assistance resources; interviewing patients to obtain required documentation; assisting individuals and families with benefit applications; reviewing records to determine the status of claims and applications; responding to inquiries regarding patient eligibility requirements, benefits, and program guidelines; and maintaining accurate patient records through data entry, discrepancy resolution, and follow-up on pending claims and missing documentation.

GS-07:

Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility and preparing or issuing medical authorizations and denial determinations in accordance with established regulations and program requirements; identifying and verifying alternate resource coverage, including Medicare, Medicaid, VA benefits, and private insurance;researching and resolving discrepancies related to eligibility, claims, medical authorizations, coverage, and supporting documentation; coordinating referrals and follow-up with healthcare facilities to support continuity of care; and responding to inquiries from patients, providers, and agencies regarding eligibility, claims, and program requirements.

GS-08:

Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: applying and interpreting complex federal, state, Tribal, and private-sector regulations to make eligibility and funding determinations for programs such as Purchased/Referred Care, Medicare, Medicaid, Veterans Affairs healthcare, and Affordable Care Act plans; independently analyzing medical,financial, and eligibility documentation to resolve complex or controversial benefit issues; coordinating with agencies, providers, and patients to ensure fiscal accountability and continuity of care; issuing medical authorizations or denial determinations based on regulatory, clinical, and fiscal requirements; maintaining fund control records, monitoring expenditures, and applying appropriate accounting codes; identifying and resolving program or funding discrepancies; and compiling and analyzing reports related to program operations, funding, and utilization.

Time In Grade

Federal employees in the competitive service are also subject to the Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP).

You must meet all qualification requirements within 30 days of the closing date of the announcement.