Supervisory Health System Specialist - Whiteriver, United States - Department Of Health And Human Services

Description

Summary

This position is located at the Whiteriver Service Unit (WRSU), located in Whiteriver, AZ. The primary function of this section is to assure

an efficient and accurate system in the identification of patients who are eligible for alternate resources; incumbent provides leadership in the support and

technical assistance in the management and administration of the coordination of benefits for patients for the hospital.

Duties

• Responsible for serving as a supervisor, responsible for directing the activities of the benefit coordinators.
• Provides leadership and serves as an advocate for Indian patients in the effective utilization of alternate resources such as Medicare, Medicaid, Department of Veterans Affairs (DVA), Bureau of Employment Compensation (BEC), Third Party Liability, Children's Special Health Services, and Aid to Families with Dependent Children (AFCD), etc.
• Ability to gather data and interview others to obtain factual information for eligible Medicare and Medicaid benefits to ensure patients understand their entitlements in Indian Health Service facilities.
• Obtains and verifies all alternate resources data necessary for patient registration and billing; interprets rules and regulations for alternate resources for patients; and performs continuous research and updates information involving changes in rules and regulations for alternate resources.
• Utilizes the patient database information system which includes conducting patient interviews to update information on demographic and thirty party resource data, recording the information and submitting to the Third Party Reimbursement Office.