Benefits Coordinator (Regular -Full Time)

Program: Wind River Family and Community Healthcare
Salary: Negotiable
Opening Date: May 30, 2019
Closing Date: Open Until Filled
Hours: Monday-Friday, 8:00am-4:45pm

Wind River Family & Community Health Care is seeking applicants for the position of Patient Resource Coordinator. Wind River Family & Community Health Care provides ambulatory health care for the service population of the Wind River Reservation. The Patient Resource Coordinator serves as a member of the administrative staff of the ambulatory health care clinics located in Arapahoe, Ethete and Riverton Wyoming.

The primary purpose of this position is to function as the Patient Resource Coordinator. The incumbent shall identify all patients that are eligible for alternate resources, assist them in applying for alternate resources, will act as an advocate for patients, will follow up on all patient applications for benefits and alternate resources, and perform community outreach activities, on an individual and group basis, to inform patients of alternate resources that they could potentially qualify for and assist them in applying for such resources.


Acts as an advocate for Native American patients in securing alternate resources such as Medicare, Medicaid, Department of Veterans Affairs, Bureau of Employment Compensation, Third Party Liability, Children’s Special Health Services, Aid to Families with dependent children, etc.
Identifies persons 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 Indian population.
Assists families and individuals in applying for an alternate resource.
Interviews patients using established criteria.
Works closely with the Social Security Administration (SSA) on local and regional levels, local County Department of Welfare or Department of Human Resources and Tribal offices to establish eligibility for Medicaid (including Medicaid for pregnant women, AFDC, Supplemental Social Security Income (SSI), Uncompensated Care Waiver benefits) and to establish patient eligibility with these programs.
In conjunction with patient registration, screens for potential third party resource eligible patients.
Works with Social Services and other disciplines that may assist in the development of a registry of eligible patients.
Assists patients with applications for alternate resources, providing transportation, and interpretation of rules and regulations.
Follows up on all pending claims and works closely with families and agencies to see that the Indian patient is not discriminated against because of their dual role as a citizen and as an IHS recipient.
Performs a variety of patient representative functions such as: (1) assisting patients with applications; (2) making home/hospital visits to interview patients; (3) providing transportation for patients; and, (4) interpreting rules and regulations for alternate resources to patients.


Knowledge Required:

Knowledge of and skill in applying an extensive body of Business Office rules and procedures concerning benefits programs such as Medicare/Medicaid, SSA, County DFS Offices, tribal programs and other related agencies to advocate for and assist patients in securing third party resources.
Knowledge of eligibility requirements for Medicare, Medicaid and SSI to assist patients in seeking benefits.
The ability and skill to interview patients in order to determine eligibility for alternate resources.
The ability and skill to compile and write reports from various documents maintained within the Business Office.
Must maintain strict and complete confidentiality of all administrative, medical and personnel records, and all other pertinent information that comes to his/her attention or knowledge.
Communication skills are required to effectively explain and solicit appropriate information from the patient.
Must have the ability to work under stressful situations and must be highly motivated to assist patients in applying for third party resources to insure that they get the highest possible quality of health care available.
Follow up with applicants and applications.
Individual must be consistent, ability to work as a team and very business oriented.


Personal Attributes:

The incumbent must maintain strict confidentiality and high ethical standards in performing the position. The incumbent needs to be respectful, possess cultural awareness and sensitivity, be flexible, and demonstrate sound work ethics.


How to Apply:

Complete a Northern Arapaho Tribal application form and submit it to the Northern Arapaho Human Resources program, or WRFCHC HR program. Applications can be mailed to WRFCHC, P.O. Box 1310, Riverton, Wy., 82501. Applications can also be hand delivered to Northern Arapaho Human Resources at the Tribal Complex Building, located at 533 Ethete Road, Ethete, WY, or at W.R.F.C.H.C. Human Resources Department, 511 N. 12th E. Riverton, WY.

Application forms and the job description can be obtained on the Tribe’s website at www.northernarapaho.com or at www.windrivercares.com.

For more information please call 307-856-9281 Ext 120 or 105