Navajo Preference Employment Act : In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview:

The primary purpose of this position is to perform a major segment of the accounts receivable management function to the Patient Accounts sections of the Medicare and Marketplace Sponsorship Program with Patient Benefit Coordination Department. This position requires the ability to work under conditions of frequent interruptions, be autonomous, collaborative and willingness to work a flexible schedule. Ensures applicable federal, state, local and organizational privacy laws and regulations are followed with issues related to Health information, confidentiality, release of information and patient rights. Works closely with Medicare Part D/ Marketplace enrollee.

Qualifications:

Education:

High School graduate or GED

Experience:

• Experience working with various automated systems and Microsoft applications
• Must have one (1) year of experience working in an office environment

Other Skills and Abilities:

A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas:

• Positive working relationships with others; works effectively in team relationships
• Possession of high ethical standards and no history of complaints
• Reliable and dependable; reports to work as scheduled without excessive absences
• Strong organizational skills
• Ability to operate under immense pressure
• Good oral and written skills and computer literacy for online enrollment assistance
• Must have and maintain an unrestricted current valid state driver’s license
• Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job
• Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job
• Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job
• Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC.

Responsibilities:

• Responsible for the accurate maintenance of a centralized file system for patient benefit coordinator files in the business office. Maintain the central file system in an alpha sequence by patient name in a readily retrievable fashion.
• Responsible for the creation of patient financial file folders to be utilized in the business office for maintaining all financial information pertinent to each patient encounter or admission.
• Controls receipt of registration documents, explanation of benefits copies for placement in the patient benefit folder. Places materials into appropriate patient benefit folder.
• Pulls and distributes patient benefit folders to the appropriate personnel.
• Locates patient financial folder needed to respond to correspondence received by Medicare Part D/Marketplace mailings and distributes to the appropriate staff.
• Handles the re-filing of all patient financial folders in the master file system.
• Copies and files remittance advice copies for government and state programs in patient financial folders.
• Handles all incoming mail and its distribution as well as all outgoing departmental mail.
• Assist Medicare Part D enrollee with MOU/PHI from incoming client/s and explain purpose of MOU/PHI in Navajo if client/s are not able to speak or understand English.
• Conduct home visits for MOU/PHI signatures for client/s who are not able to travel.
• Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield.
• Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates)
• Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction.
• Performs other duties as assigned.