Employment Opportunities

Patient Resources Specialist (PRS)

This position is currently open.
Public?: 
Internal
Division: 
Health
Reports To: 
Director (PRC) Department
Type of Position: 
Regular Full Time
Location: 
Little Axe Health Center / 15951 Little Axe Dr. / Norman, OK 73026

General Description
This position is located with the AST Health System’s purchase referred care/contract health department PRC. The primary location is the Little Axe Clinic, which is an outpatient multi-disciplinary clinic established and managed by the Absentee Shawnee Tribe of Oklahoma serving Native Americans.  The main function of this position is to assist patients with referrals both Tribal and non-tribal, requiring verification of insurance, correct catchment area, updating current records to insure PRC has accurate information.  The position may require working at the Shawnee Clinic periodically to support patient care and tribal members requiring PRC services. Position will also liaison with other health system PBAs to ensure program congruency as well as help with AST and other Tribal members in securing medical resources. This position will also work with Dental Department in referring patients to outside sources when needed. Assists with marketing and public education efforts for services.   

Responsibilities
Patient Resource Specialist (PRS):
  1. Identifies uninsured patients (new applicants) through review of scheduling, database query, and interdepartmental referral.
  2. Inform and answer patient questions regarding Disability, Social Security, Medicare and SoonerCare. Keep abreast of all eligibility criteria and covered benefits.
  3. Assists clients to complete applications for alternate resources. Receives patient information through interview, electronic or mailed correspondence.
  4. Recruit SoonerCare (Medicaid) patients to use ASTHA as PCP.
  5. Verify insurance active coverage dates and covered benefits of patients.
  6. Performs routine clerical duties including processing incoming and outgoing mail, copying all necessary documents, filing, and maintains mailing lists.
  7. Enters client data into the appropriate database; maintains accurate files, and organizes data.
  8. Conducts self in accordance with AST administrative manual.
  9. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
  10. Assists in answering phones and scheduling patient appointments when needed.
  11. ACA Tribal Sponsorship:  Management and Enrollments.
  12. Assist SoonerCare Plan Enrollments.
  13. Assist Insure Oklahoma Plan Enrollments.
  14. Assist Health Insurance Marketplace Plan Enrollments and Tax Issues.
  15. Assist Medicare, Medicare Advantage, “Medigap” Supplemental, Medicare RX.
  16. Assist Veterans with VA:  VHA-Veterans Health Benefits & VBA-Veterans Benefits Administration.
  17. Coordinate DHS Benefits:  Medicaid and Part B Savings Program.
  18. Coordinate Social Security Benefits:  Disability-SSDI & SSI, Retirement info, Medicare info.
  19. Contract Health & I.H.S.: Coordinate referrals pending 3rd Party Resource eligibility determinations.
  20. Performs other related duties as assigned.     

Education Requirements and Qualifications
  • High School Diploma or GED; Associates Degree preferred.
  • Knowledge of or experience in working with third party resources such as Medicare, Medicaid and Private Insurance, Contract Health or Coordination of Benefits, medical records, reception and patient registration.
  • Knowledge of billing procedures and insurance verification.
  • At least three years of clerical, secretarial, or medical office experience.
  • Skill in using a computer and knowledge of software to access and interpret patient data.
  • Excellent communication and customer service skills.
  • Culturally sensitive to Native Americans.
  • Self-motivated, have the ability to prioritize work tasks and be creative with projects.
  • Good organizational and administrative skills.
  • Must be able to pass a criminal background check and drug test.
Native American Preference/EEO/Drug Free /Smoke Free Workplace
Posted Date: 
4 years 11 months ago
Closing Date: 
Friday, May 24, 2019


Tribal Preference/Native American Preference/EEO/Smoke Free/Drug Free Workplace
Indian preference applies to all positions, but all resumes will be accepted.

Apply for This Job
Forward Completed Absentee Shawnee Tribe applications with resume to:
Absentee Shawnee Tribe
Human Resources Department
2025 South Gordon Cooper Dr.
Shawnee, OK 74801
Fax: 405-273-2710
Email: HR@astribe.com
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