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Medical Support Assistant- PCR

Location: Browning, Montana
Strativia has a new opportunity for Medical Support Assistants to work with our client in Browning Montana at the Black Fleet Service Unit. This position is part time; 3 days per week for 8hour shifts.

RESPONSIBILITIES:
 
  • Initiate medical authorizations to include hospitalizations and professional fees for eligible Indian patients
  • Maintain denial correspondence files assuring that all appropriate documentation is included in file
  • Key enter information for automatic document control commitment registers for health service funds allotted; provide supervisor(s) informal reports on fund status, expenditures on a periodic basis
  • Contact state agencies and other outside organizations to determine medical eligibility within the services unit jurisdiction; cross compare proposed authorizations with sources prior to obligating funds for contract health services
  • Provides Purchase Referred Care (PRC) orientation to health service vendors, and recipients, as well as service unit personnel
  • Conduct on-site patient interviews to establish eligibility and complete, maintain application for medical care; verify records of residence for applications by addressing inquiries to a variety of sources
  • Verify PCR eligibility for Indian patients using PRC regulatory criteria
  • Participate with Health System Specialist in the development of local PRC procedural guides, compiles and interprets various alternate resources references and guides
  • Answer email, telephone inquiries regarding eligibility requirements, payments, charges and other such procedures
  • Maintain knowledge of organization structure, function and procedure of work units
  • Proficient skill of Microsoft Office suite
  • Ability to sit, stand, bend and occasionally life heavy objects in an office setting
Strativia is an Equal Opportunity Employer and strives for diversity. Strativia in accordance with applicable law, does not discriminate in hiring or otherwise in employment on the basis of race, color, religion, sex, national origin, age, marital or veteran status, disability, sexual orientation, or any other legally protected status. EOE/AA/Vets
Strativia 
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