Job Details

Job TitleJob DescriptionDutiesHelpThere MAY NOT be immediate vacancies at all locations. Alternate ResourcesProvides guidance and serves as an advocate for patients in the effective utilization of alternate resources and the eligibility process for Medicare, Medicaid, Department of Veteran Affairs, Social Security Administration, Bureau of Employment Compensation, Third Party Liability, Worker's Compensation, Children Special Health Services and Temporary Aid to Needy Families (TANF).Provides information on rights and benefits of multiple alternate resources, advises of patient of nonpayment or denial of claims, serves as advocate intervening of patient's behalf.Identifies and follow-up on pending application, works with families and agencies, ensures timely entry of multiple alternate resources to augment outpatient and inpatient billing efforts.Assists and work closely with all sections related to patient registration, billing, collections and accounts receivable, and health providers in identification, eligibility and utilization of all alternate resources that are available to the native population served. Provides and maintains communication with all parties involved.Medicare/MedicaidAssists patients, family members, and all other parties involved in initiating and completing the Medicare and Medicaid applications. Interprets rules and regulations on usage of the eligibility coverage. Interviews all patients eligible for Medicare and Medicaid benefits to ensure they understand their fair entitlement in non-IHS and IHS facilities.Works with various aid programs and other disciplines that may assist in developing registers of eligible patients through their current activities related in determining the health status of the elderly. Assists the elderlies and their families with application for alternate resources and interprets rules and regulations for Medicare and Medicaid third party coverage.Coordinates with local, community, county, tribal affiliates and agencies to establish eligibility or provide accurate referrals in establishing eligibility for Medicare, Medicaid, food aid assistance, Social Security Disability, and Supplemental Security Income (SSI).Assists with completing the Social Security Disability Insurance (SSDI) and the Supplemental Security Income (SSI) Disability enrollment process. Helps patients and/or families in completing the required forms. Provides and independently initiates a progressive review of the disability process with the Social Security Administration and the State Developmental and Disability programs.