Council Dispatch #203 October 19, 2023 Tribal Council Bing Matt informed council that he received a call from Homer Courville. Homer received a check for $2,000 and he did not know if...
Three Chiefs Culture Center will be CLOSED Friday October 27th. All staff will be away on training or out of the area. We will be open again Monday October 30th at 8am. Thank you for your...
|Name||Healthcare Resource Advocate|
CONFEDERATED SALISH AND KOOTENAI TRIBES
OF THE FLATHEAD NATION
PO BOX 278
PABLO MT 59855
PERSONNEL OFFICE FAX: (406) 226-2562
WEBSITE ADDRESS: csktribes.org
****V A C A N C Y A N N O U N C E M E N T****
TITLE: Healthcare Resource Advocate (1 or more positions)
LOCATION: Tribal Health Department – St. Ignatius
SALARY: $19.89 - $22.87 per hour, plus benefits - May be employed under contract
CLOSING DATE: Thursday, December 7, 2023 at 5:30 p.m. (MST)
GENERAL DESCRIPTION OF WORK:
Responsible for the efficient and effective outreach and enrollment to the beneficiary population that may be eligible for alternate resources such as Medicaid, Medicare, Veterans Healthcare Benefits, Private Insurance.
Responsibilities include scheduling, pre-registration, registration, authorization, and alternate resource counseling. Monitors and measures division operational standards, including being able to identify upon request the number of new beneficiaries signed up for new alternate resources.
The employee will also be responsible to optimize customer service to ensure a positive patient experience while processing Medicaid applications or receiving Statement of Fact interviews.
Will work as part of a team dedicated to expanding health care access through the use of alternate payers (other than THPC).
Specific Duties include:
Manages day to day THD referrals for increased health care access using established policies, regulations and standards. The goal is to have increased eligibility for health care through alternate payers such as Medicaid, Medicare, Veterans Healthcare Benefits, private insurance.
Develops a report on “day one” that lists all referrals and outcomes (who became eligible or why not). Can provide accurate information on referrals upon request by Division Managers, Department Head, etc.
Ensures adherence to policy, procedures, regulations and eligibility criteria of the various payers.
Reviews insurance and demographic data with Patient Registration weekly.
May assist with an alternate resources eligibility situation as part of a CHEF case or high cost case.
Develops and provides a weekly productivity and performance report that details referrals in and actions taken to enroll beneficiaries in alternate resources.
Maintains up to date knowledge of computer systems, insurance/government regulations and beneficiary access policies which are used to determine eligibility for alternate resources.
Coordinates with Data IT division manager to create a beneficiary query and or reporting of beneficiaries that need alternate resource coverage. Sets up a system to communicate and assist these beneficiaries with information and education.
Can describe, seek, obtain and maintain a data report format that illustrates new alternate resources sign ups by source (Medicaid, VA, PI, and Medicare). Sets a baseline in February 2016 and maintain consistent reporting thereafter using RPMS data (showing those that obtained alternate resources eligibility).
Maintains a system to monitor insurance end dates so that beneficiaries may continue their coverage. Assists beneficiaries with all information necessary to sustain new coverage.
Maintains knowledge of government, private and commercial insurance coverage available to community.
Develops extensive knowledge of government, private and commercial health care and social service resources available to the community.
During alternate resources sign up, encourages THD beneficiaries to use THD clinics for primary medical care. Develops mechanisms to encourage full utilization of THD clinics.
MINIMUM QUALIFICATIONS (AS REFLECTED ON THE TRIBAL EMPLOYMENT APPLICATION):
SUBMIT ALL OF THE ABOVE TO: Personnel Office, PO Box 278, Pablo MT 59855, Telephone (406) 675-2700 Ext. 1040, or firstname.lastname@example.org
FAILURE TO SUBMIT ALL OF THE ABOVE INFORMATION WILL RESULT IN IMMEDIATE DISQUALIFICATION DURING THE SCREENING PROCESS
FOR MORE INFORMATION: Contact Patryce Caye at THD (406) 675-2700 Ext. #7364
|File name||Healthcare Resource Advocate 11.15.23.pdf|
|File type||pdf (Mime type application/pdf)|
|Date added||11/16/2023 07:40:09|
|Last modified on||11/16/2023 07:42:26|
The Confederated Salish and Kootenai Tribes
P.O. Box 278
Pablo, Montana 59855
42487 Complex Blvd.
Pablo, Montana 59855
Property & Supply Shipping Address:
33091 Mollman Pass Trail
Ronan, Montana 59864