CHS Care Coordinator - CHS - Okemah

MINIMUM QUALIFICATIONS Education – High School Diploma or GED equivalent is required. Experience – One (1) year of relevant experience in medical billing or related field preferred. Licenses & Certification – Must possess valid State of Oklahoma Drivers License and be insurable. Knowledge & Skills – Knowledge of Contract Health Services (CHS), Indian Health Services (IHS) and Department of Health Administration Policies and Procedures. Knowledge of third-party billing Knowledge of general medical terminology and of the terminology used in the process of referrals. Ability to prioritize and complete multiple work assignments in a timely manner. Knowledge of the Privacy Act as it relates to confidentiality and release of medical information. Knowledge of third-party resource programs. Knowledge of patient registration systems and of the Health System in the provision of basic health service. Skill in the use of a personal computer in a Windows environment and other office equipment. Knowledge of data entry on an EHR database, word processing and the ability to utilize a personal computer in a Windows environment. Ability to communicate courteously and effectively with patients and their families, MCNDH Staff and the general public via orally and in writing. Ability to maintain a professional demeanor and maintain strict confidentiality. JOB SUMMARY The purpose of the position is to provide support and direct guidance to assistance our patients thru the Contract Health Services (CHS) program. Also, facilitate and expedite CHS referrals throughout the Muscogee (Creek) Nation Health System and outside providers. WORK ENVIRONMENT Work is performed in an ambulatory health care setting. Incumbent has contacts with patients, CHS and MCNDH Staff and visitors. There is moderate risk of exposure to infectious communicable diseases, potentially hazardous chemicals and biohazardous materials. PHYSICAL DEMANDS Work requires the demands of normal office work within an ambulatory clinic. Incumbent must be able to cope with and adapt to constantly changing situations/demands. ESSENTIAL FUNCTIONS Satisfactory job performance will be determined by successful execution of the following: Process IHS, in-house and other referrals as specified by the referral by scheduling appointments, notifying patients via telephone or by mail. Responsible for tracking and follow-up activities of each referral as the patient progresses through the CHS Office. Ensure maximum usage of alternate health care resources, i.e., IHS, tribal, Medicaid, Medicare, Title 19 eligibility, emergency medical assistance, private health insurance, etc. As directed by the supervisor, assist patient in completing Title 19 application and processing to appropriate DHS office. Assist in follow-up on status of all patient T-19 applications to ensure that all information requested has been submitted to the appropriate DHS Office. Assist in preparing weekly CHS referral packages as directed. Responsible for maintaining CHS and Tribal program filing systems and file database in an effective and efficient manner. Maintain open channels of communication and clear flow of information between all departments and other relevant facilities. Refers to appropriate department for assistance. Answer routine questions regarding CHS, IHS and other referrals and related inquiries via telephone and in person. Organizing patient’s care. Regular attendance is required. Perform other duties as required.