Campus Pride Jobs

Summary This position is located at the Phoenix Indian Medical Center, Phoenix Area. The purpose of this position is to provide medical program technical assistance to the Purchased and Referred Care (PRC) program. Incumbent will carry out a complete and accurate control system for a program which manages the contractual aspects of medical and hospital services for the qualified American Indian (AI) and Alaskan Native (AN) population within the Phoenix Area. Position is located in Phoenix, AZ. Responsibilities This position is being re-advertised to solicit additional applications. Applicants who applied previously need not reapply unless submitting updated and/or missing information. Initiate medical authorizations to include hospitalizations and medical fees for qualified American Indians. Authorization documents are reviewed for patient demographic information, clinical data, obligation signatures, certification signatures and fiscal data. Monitors activities and records pertaining to the fiscal management of Purchased Referred Care (PRC). Identifies problem areas and recommends corrective action. Reconciles and balances the commitment registers with CHS/MIS, Fiscal Intermediary (FI) and United Financial Management Services (UFMS). Ensures and maintains internal fiscal controls: and billing procedures on funds being obligated. Reports are submitted to the PRC Health System Specialist for review and signature. Maintains control of and makes appointment arrangements for outpatient health care services subject to the regulations regarding purchases, fully utilization of Electronic Health Record and the limitation of funds authorized. Prepares authorization and schedules admissions in non-I.H.S. facilities as funds become available. Maintains files regarding the Purchased and Referred Care program, which includes letter of denials with all backup materials for reason for denial, etc. Answers telephone and personal inquiries regarding payment, patients admitted to other than I.H.S. facilities, outstanding charges, eligibility, etc. Medical confidentiality must be maintained. Answers technical correspondence and compiles information and prepares for submission of periodic and special reports concerning PRC data to the Area Office and Service Unit Director. Requirements Conditions of Employment Must pass pre-employment examination. Selectee may be subject to a probationary/trial period ESEP appointees typically serve a two year trial period U.S. Citizenship is required Selective Service Registration is required for males born after 12/31/1959 This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes. Confidential Financial Disclosure Form required. Measles and Rubella immunization required for selectees born after 1957 and seasonal influenza immunization is required for all staff working in Indian Health Service health care facilities. COVID-19 vaccination is required for all selectees prior to entrance on duty. Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/. You will need to set up direct deposit so we can pay you. Background Investigation: If you are selected for this vacancy, you must undergo a pre-employment fingerprint check and background investigation. Fingerprint results and background investigation documentation must be cleared prior to hire. After you begin your employment, your continued employment is contingent upon the outcome of a complete background investigation as determined by the sensitivity level of your position. The investigation must find that you are suitable for Federal employment in your position. If you are found not suitable, you will be terminated after you begin work. If you make a false statement in any part of your application, you may not be hired; you may be fired after you begin work; or subject to possible criminal charges. You may be subject to a credit check as a part of the background investigation process. Qualifications To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week. MINIMUM QUALIFICATIONS, GS-06:Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Examples include: Apply patient referred/care procedures and regulations; work with funding limitations and policies, technical, administrative and clerical functions related to the patient referral program; properly process forms, authorization documents, correspondence and reports based on requirements; and maintain records regarding funds for medical services. MINIMUM QUALIFICATIONS, GS-07:Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-06 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Examples include: Apply policies, procedures, rules and regulations when determining patient eligibility, availability of services and identification of fiscal resources; manage fund control techniques to accounts for allotted funds and preparing statements and reports; and operate an automated data program system for patient referral reports, and controlling of funds. In addition to meeting the Minimum Qualifications, you must meet the Typing Proficiency Requirement below. TYPING PROFICIENCY REQUIREMENT: In addition to meeting the experience requirements, applicants for these positions must show possession of the following typing skill. Applicants may meet these requirements by passing the appropriate performance test, presenting a certificate of proficiency from a school or other organization authorized to issue such certificates by the Office of Personnel Management local office, or by self-certifying their proficiency. Performance test results and certificates of proficiency are acceptable for 3 years. Agencies may verify proficiency skills of self-certified applicants by administering the appropriate performance test. Must be able to type at least 40 words per minute based on a 5-minute sample with three or fewer errors. Time In Grade Federal employees in the competitive service are also subject to the Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP). You must meet all qualification requirements within 30 days of the closing date of the announcement. Education There are no education requirements. Additional Information Per IHS policy (SGM 21-04) IHS selectees to positions located in Federally operated hospitals, health centers, and clinics must be fully vaccinated for COVID-19 before entry on duty or have IHS approve a medical or religious exemption. If an exemption is approved then wearing a face mask and regular testing for COVID-19 will be required. Your Human Resources Specialist will provide a list of documents acceptable as vaccination proof and instructions on how to submit your vaccination documentation or how to request a medical or religious exemption, if needed. Additional selection(s) of candidates may be possible within 240 days from the date the certificate of eligibles was issued for this announcement. Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. IHS may offer newly-appointed Federal employees credit for their directly related previous non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. This position is covered by a Bargaining Unit. Recruitment and/or Relocation Incentives may be authorized and is subject to availability and service unit approval. If offered, you will be required to sign a one (1) year service agreement. Failure to fulfill the service agreement will result in repayment of the incentive. This position has promotion potential to the GS-07 grade level. Promotion to the next grade level is at management's discretion and is based on your demonstrated ability to perform the higher level duties, the continuing need for the higher level duties, and "Regulatory/Administrative" approval. Promotion to the next higher grade level is not guaranteed and no promise of promotion is implied.