Tribal ACA Outreach & Education Clerk

Job Type

Full-time

Description

POSITION OBJECTIVES

The primary purpose of this position is to plan and coordinate outreach efforts for the implementation and monitoring of the outreach and enrollment efforts of Klamath Tribal Health and Family Services as the Affordable Care Act is implemented. This position will also assist the Patient Registration department in maintaining accurate records of patient information, both hard copy and computer database. The employee obtains all pertinent registration and eligibility information for the determination of eligibility for health care services. Routinely ensures accurate demographic and alternate resource information is collected and reviewed. The employee also will provide staff support for the Patient Benefit Coordinators in identifying potential clients and assisting clients in maintaining and qualifying for alternate resources. The Tribal ACA Outreach & Education Clerk works directly with the Tribal community assisting with updating and utilizing alternate resources.

MAJOR DUTIES AND RESPONSIBILITIES

1. This position is responsible for the planning of outreach and education efforts for the implementation of the Affordable Care Act (ACA). This will include informing Klamath Tribal Health clients, the Health General Manager, Tribal employers and Tribal staff on the benefits and opportunities available through the ACA.

2. The position will be responsible for planning and coordinating outreach events and strategies to most effectively educate and enroll KTH&FS clients and Klamath Tribal families into health coverage programs that are available to them.

3. Oversee the distribution of materials and information; track outreach material dissemination.

4. Coordinate meetings activities and information with Tribal Staff, Tribal Council, Health Advisory Board and other partners and stakeholders. This includes agenda development, participant coordination and confirmation of all planned activities.

5. Develop and manage Tribal Community contacts for ACA and provide general support via phone, e-mail or other forms of communication in support of the outreach and education efforts in Klamath County.

6. The position will be responsible for developing a policy for the Tribal Sponsorship Premium Program if applicable.

7. The position will be responsible for developing a monitoring system to evaluate the effectiveness of the enrollment strategy as well as a system to monitor the benefit of premium sponsorship if that program is undertaken by KTH&FS. This system will monitor not only the cost versus return & savings level, but also ascertain whether providing health coverage for clients is contributing to higher access for needed health care services.

8. Assist with maintaining current and accurate patient data in the current Patient Registration System.

9. Assist with the maintenance of the chart and filing system for Patient Registration and Patient Benefits records, denials, suspense, referrals, pending applications and other records. File updates and other vital information in Patient Registration charts.

10. Assist patients who are eligible for alternate resources in completing the application process for services; primarily the Oregon Health Plan. Home visits may be required for patients who are unable to come in to complete renewal application process.

11. Interview/screen new and existing patients to ensure required documentation to establish eligibility is provided. Reconcile documents provided to ensure patients meet eligibility requirements to receive health care services through Klamath Tribal Health & Family Services. Forward all applications and documentation to the Patient Registration Supervisor for approval before entering new patients into the Patient Registration System.

12. Explain IHS and Klamath Tribal Health & Family Services regulations and policies regarding documents needed and eligibility requirements to receive health care services.

13. Check Patient Registration mail box on a daily basis; stamp received, sort and route mail to appropriate parties.

14. Take appropriate action on referrals, records, and alternate resource information from various Tribal Health departments as assigned by the Patient Registration Supervisor.

15. Serve as a back-up in the absence of the Patient Registration Supervisor and Patient Registration Clerk; enter new patients into the current database system(s) and update existing patient eligibility as necessary.

16. Perform a variety of clerical duties including, but not limited to filing, photocopying, ordering supplies, and typing program correspondence. Type and reproduce a variety of daily correspondence and documents including but not limited to memorandums, letters and reports from rough draft.

17. Assist the Patient Benefits Coordinators in identifying patients who may be eligible for alternate resources by generating reports utilizing the current database to select patients that fit alternate resource criteria.

18. Perform staff support duties for the Patient Benefits Coordinators which will include identifying and contacting either by mail, phone or in person, patients regarding alternate resource issues.

19. Perform semiannual audits for all patients with Medicaid coverage and confirm coverage through DHS system. Enter term dates where appropriate.

20. Audit Patient Registration Database files and make appropriate changes to entered information to ensure uniformity of entries such as address and phone numbers.

21. Like all employees of the Klamath Tribes, the incumbent will be called upon to accomplish other tasks that may not be directly related to this position, but are integral to the Klamath Tribes' broader functions, including but not limited to, assisting during Tribal sponsored cultural, traditional, or community events that enable the successful operation of programs and practices of The Klamath Tribes as aligned with The Klamath Tribes' Mission Statement. Some of these tasks may be scheduled outside of regular work hours, if necessary.

Requirements

QUALIFICATIONS, EXPERIENCE, EDUCATION

Minimum Qualifications: Failure to comply with minimum position requirements may result in termination of employment.

• REQUIRED to possess a High School Diploma or Equivalent. ( Must submit copy of diploma or transcripts with application.)

• REQUIRED to acquire and maintain BLS certification within 180 days of hire; strongly recommend certification within 90 days of hire, probationary period will be extended for a maximum of 180 days pending certification.

• REQUIRED to submit to a background and character investigation, as per Tribal policy. Following hire must immediately report to Human Resource any citation, arrest, conviction for a misdemeanor or felony crime.

• REQUIRED to submit to annual TB skin testing and adhere to KTHFS staff immunization policy in accordance with the Centers for Disease Control immunization recommendations for healthcare workers.

• REQUIRED to accept the responsibility of a mandatory reporter in accordance with the Klamath Tribes Juvenile Ordinance Title 2, Chapter 15.64 and General Council Resolution #2005 003, all Tribal staff are considered mandatory reporters.

Salary Description

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