PRC Billing & Referrals Specialist

Ketchikan Indian Corporation; Ketchikan (AK); Presencial; USD 29.000 - 44.000; Jornada completa

Descripción de la vacante

Ketchikan Indian Corporation seeks an organized clerical professional to support the Purchase & Referred Care (PRC) program on site in Ketchikan, Alaska. The role blends purchasing, accounting, and clerical tasks to assist PRC services for eligible tribal members.

Responsibilities include processing online PRC authorization forms, tracking referrals, coordinating payments, and communicating with patients and providers to ensure timely service and accurate documentation.

Formación

• Knowledge of HIPAA and privacy regulations.
• Ability to operate software programs.
• Ability to obtain personal information from clients respectfully.
• Strong professional communication over the phone and in person.
• Ability to manage multiple tasks simultaneously.
• Ability to take instructions and meet deadlines.
• Team player and flexible to support the unit.
• Maintain confidentiality of operations and staff.

Responsabilidades

• Process online PRC authorization forms for payments to providers.
• Track and verify patient referrals for eligibility and documentation.
• Initiate follow-up on pending claims and documentation.
• Send patient/provider correspondence about bills and services.
• Ensure authorizations over 90 days are valid or canceled.
• Share on-call Patient Travel responsibilities as scheduled.

Conocimientos

HIPAA knowledge

Data entry

Communication

Multitasking

Confidentiality

Independent work

Professionalism

Educación

High school diploma

Medical terminology training

Herramientas

Office software

Descripción del empleo

Ketchikan Indian Corporation seeks an organized clerical professional to support the Purchase & Referred Care (PRC) program on site in Ketchikan, Alaska. The role blends purchasing, accounting, and clerical tasks to assist PRC services for eligible tribal members.

Responsibilities include processing online PRC authorization forms, tracking referrals, coordinating payments, and communicating with patients and providers to ensure timely service and accurate documentation.