Employment Opportunities

General Description

Responsibilities

• Manage eligible patients seen in the Little Axe-Shawnee Clinic requiring addition medical care as notated by the provider referral.
• Provides information in person or by telephone regarding services available under the Absentee Shawnee Tribe's Health Clinic.
• Responds to PRC/CHS inquiries and requests for PRC/CHS assistance.  Such responses are through telephone, correspondence, and personal visits with customers/patients.
• Communication with other interdepartmental PRC staff regarding referrals received from providers.
• Develops and maintains a positive working relationship and supports the overall team effort of the Absentee Shawnee Tribal Health program providers including clinics, physicians, community outreach programs, third party resources, community health care nurses, home health care nurses, diabetes initiative, behavioral health, billing office, health board and PRC/CH review committee.

• Documentation, processing and auditing of provider driven referrals
• Utilizing Indian Health Services (IHS), Private Insurance, Medicaid/Medicare, and Tribal Health Programs.

• Enters client data into the appropriate database; maintains accurate files, and organizes data.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Performs other duties as assigned.

Education Requirements and Qualifications

• Incumbent must possess the ability to interact with a wide variety of individuals and handle several complex situations simultaneously. It also requires impeccable communication and negotiation skills, written, verbal, and excellent computer and typing skills.
• Must be able to provide quality customer service.
• Must be able to apply critical thinking through the ever changing work environment.  Knowledge of software to access and interpret patient data.
• Excellent verbal and written communication skills.
• Ability to communicate with patients, families, caregivers and other healthcare professions.
• Culturally sensitive to Native Americans.
• Good organizational and assessment skills.
• Self-motivated.
• Must be able to prioritize work tasks and be creative with projects.
• Must be able to fully utilize a computer.
• Must be able to perform duties with a minimum of supervision.
• Must be able to function as a team member.
• Must be able to be a dependable team member of the clinic setting and be ready to start work on time.
• Must be able to be sedentary for long periods of time, will require a majority of sitting time.
• Must be able to work in an office setting with public interaction and exposure to potential illnesses.
• Must possess a valid Oklahoma Driver's license
• Must be able to pass a background check and drug screen

• High School graduate; some college preferred.
• Medical Assistant (MA) with Certificate
• Minimum completion of a program or training in Medical Office Technology or a related field.
• Must be familiar with medical terminology.
• Experience with prior authorizations, insurance pre-certifications a plus.
• Experience with electronic health record (EHR) software preferred.

• Must be able to sit, stand, stoop, bend or kneel for long periods of time.
• Sitting, standing or walking for long periods of time; occasional bending, squatting, kneeling, stooping; good finger dexterity and feeling needed; frequent repetitive motions; talking, hearing and visual acuity.
• Frequent lifting up to 15 pounds.
• Occasional lifting up to 30 pounds.