DEPARTMENT: Business Office
REPORTS TO: Business Officer Manager
SALARY: D.O.E.
JOB STATUS: Full-time/Non-Exempt/Permanent
OPEN DATE: 05-19-2023
CLOSE DATE: Until filled

JOB SUMMARY:

Incumbent will identify patients that are eligible for alternate resources and assist these patients in applying for alternate resources they could possibly qualify for and provide assistance in completing the applications for such resources.

DUTIES AND RESPONSIBILITIES:

Acts as an advocate for Native American patients in securing alternate resources such as Medicare, Medicaid, Department of Veterans Affairs, State Programs, Third Party Liability, and Children’s Special Health Services to name a few.
Identify patients who may be eligible for alternate resources through the effective utilization of screening and interviewing methods.
Works closely with all facility staff in the identification and utilization of all alternate resources available to the Native American population.
Interviews patients using established criteria; follow up on all assigned pending applications.
Works closely with the Social Security Administration on local and regional levels.
Works closely with the Tribal TANF and DFS to establish eligibility for alternate resources.
Works closely with 1st Impressions/patient registration, staff at Wind River Family & Community Health Care
Assist patients/families with applications for alternate resources, which may include traveling to their place of residency to collect required documentation needed to complete the application; helping arrange transportation and interpretation of rules and regulations set forth by programs such as Medicare, and Medicaid.
Works closely with families and agencies as an advocate for the patient to make sure that he/she is not discriminated against.
Must be willing to become a Certified Application Counselor through ACA Marketplace.
Performs other duties as assigned to maintain and enhance the operation of the program.

QUALIFICATIONS:

High School Diploma or GED
An associate degree in health care, business or related field preferred not required.
One (1) year experience with benefits coordination, or other healthcare related benefits programs.
Must demonstrate knowledge of the State Medicaid program or the ability to learn the Wyoming rules and regulations pertaining to the Medicaid program.
Ability to learn the RPMS system and competent in computer programs, such as MS Word, Excel, and Google applications i.e., Google sheets, Gmail as well as use standard office equipment.
Knowledge of HIPAA standards.
Be able to effectively communicate and possess a high level of organizational skills.
Must be able to pass a criminal background check under the Indian Child Protection Act and Family Act (P.L.101-630).

EMPLOYEE BENEFITS:

Competitive wages (no state or local tax)
18 different medical insurance packages
Dental and vision insurance
Life insurance
Retirement plan with 4% match
Leave Benefits

IMPORTANT APPLICATION CRITERIA:

• Submit a complete application with supporting documents either online or to WRFCHC Human Resource Department located at 120 North 6th East St (Old DFS Bldg.), Riverton WY. Applicants must submit all supporting documents to be eligible for the position they are applying for.
  
  • Supporting documents: Proof of Covid Vaccination and Booster, Driver’s License, Tribal ID, High School Diploma/GED, Degree or professional credentials, and other supporting documents that verify required qualifications.
  • WRFCHC is a mandatory covid vaccine employer. All employees are required to be fully vaccinated as a condition of employment.
• Applicants not living in the local area may submit a cover letter, resume, and supporting documents in lieu of an application as an initial statement of interest for a particular job announcement. However, the applicant must follow-up with an official Wind River Family and Community Health Care job application.
• Applicants who have a current application on file are required to submit a letter of interest for each position in which they want to be considered for. The letter should address how they meet each qualification. Supporting documents must be attached to the letter of interest.
• Telephone calls are not accepted in place of an employment application or letter of interest.
• When the position qualifications require a driver’s license, education, or professional credentials, the applicant must submit copies of certificates, licenses, degrees, and other supporting documentation. Applicants who do not provide supporting documents will be disqualified.
• WRFCHC is an Equal Opportunity Employer. Preference will be given to a qualified tribal member, then a qualified tribal member of a federally recognized tribe and then other qualified candidates.
  
  • Qualified Indian Preference applicants must provide a copy of their tribal enrollment identification card or a Certificate of Indian Blood.
• Background investigation, drug and alcohol screening are required as a condition of employment. Refusal will render the applicant ineligible for employment.

For information or questions, please contact Susan Apodaca at 307-856-9281 ext. 120.