This position will support the Federal Government's response efforts to COVID-19.Learn more about this agency
This position is located in the Division of Administrative Services, Business Office Branch. Purpose of the position is to manage, evaluate, analyze and provide BO functions that include Alternate Resources Program (Medicaid, Medicare and other third party resources). Incumbent reports to the Health System Administrator.
- Supervises and coordinates the functions and staff of the overall work unit which includes Collections; Cash Control; Billing; Patient Registration; Patient Admissions and Benefits. Provides technical assistance to management, medical providers, patients and other facility personnel. Ensures development, implementation, and updating policies and procedures regarding all area of departmental assignments. Coordinates and distributes workloads. Establishes and maintains a working relationship with Medicare and Medicaid intermediaries, state and federal agencies, area employers and private insurance companies. Ensures that cases of liability are reported to the Regional Attorney's Office. Coordinates functions with the NAIHS Third Party Coordinator and other Navajo Area SUs. Works with department branches to coordinate collections for the third party reimbursement program.
- Develops and oversees the Patient Benefits Coordination Program for the SU.
- Coordinates policies and procedures for patient registration and admissions eligibility, resource patient management systems, and alternate resources programs. Coordinates collections for the third party reimbursement program.
- Makes final determinations on direct care eligibility of all individuals seeking care. Determines whether patient care falls within the scope of the IHS program. Exercises delegated authority to make a preliminary determination in cases of questionable eligibility and probable third party liability.
Occasional travel - You may be expected to travel for this position.
This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/GetJob/ViewDetails/594378500. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.