What are the responsibilities and job description for the Accountant position at Indian Health Services?
Location: Albuquerque, NM Exit Disclaimer: You Are Leaving www.ihs.gov
Type: Tribal Salary Range: $41,321 to $51,652 / Per Year Open Period: 12/22/2014 to 12/22/2015 Summary: Job Title: CHS Program Manager Job Summary: KPHC is seeking one full-time CHS Program Manager to work at the Santo Domingo Health Center. Santo Domingo Health Center operation hours are Monday-Friday 8am-5pm. KPHC offers a benefits package including 100% company paid health, vision and dental insurance, 401K, Life/Short term disability, paid vacation and 10 paid holidays. Position Details: The CHS Program Manager is responsible for managing the overall SDHC CHS Program; providing support and technical assistance to SDHC management on matters involving CHS including medical, surgical, dental, hospital and clinical services to all eligible beneficiaries in conjunction with or in lieu of IHS facilities; oversees the program planning, program development, administration, management, operation, and evaluation of the SDHC CHS program; and maintains the effectiveness and efficiency of the CHS program. Salary Range: $41,321.96 - $61,982.94 Open Period: Until Filled Position Information: Full Time How To Apply: To apply for this position, you must provide a copy of your resume, cover letter, employment application, and degree to: Santo Domingo Health Center Attn: Human Resources P.O. Box 340 Santo Domingo, NM 87052 or Email: egallegos@kp-hc.org FAX to: 505-465-1191 Duties: Essential Duties, Functions and Responsibilities: - Develop, coordinate, and integrate operational plans in accordance with approved policies and directives pertinent to the administration and management of the SDHC CHS Program. Plans provide program goals and operating guidelines; define and communicate objectives and priorities; and interpret provisions of regulatory and procedural issuances. Program planning typically involves adapting general guidelines and precedents to new or changed situations and the application of new alternative methods, techniques, and approaches. Develop an annual CHS operational budget to maximize the funds allocated for CHS each fiscal year. - Develop statistical data from available reports and other sources for the purpose of reviewing, approving, and recommending changes to the SDHC CHS Program operations or budget. Monitor CHS operational budget and submits written requests for supplemental CHS funds, including budget information for tribal, State, IHS or Federal hearings. - Maintain monthly funds status reports to provide current CHS funding level to KPHC Board and Health Center Director and maintain funding levels within operational budget. - Review, analyze, and summarize pertinent financial, statistical, and program data. Monitor the utilization level of CHS funds and advise all Health Center Director as to the current usage of existing contracts to maintain maximum efficiency, arid effectiveness. - Provide interpretation of guidelines, verification of claims, appropriateness of services, and irregularities in billing information received to Health Center Director and CHS Program staff for as needed regarding services with hospitals, clinics, physicians, dentists, and other providers. - Convene and facilitate Quality Assurance/Utilization Reviews by conducting monthly (or as required) CHS Committee meetings. - Monitor and evaluate private contractors through continuous customer surveys and on-going open communication. - Establish and maintain mechanisms for assuring that patients register for benefits for which they may be eligible to ensure that CHS is the last payor for medical services, which requires knowledge of availability and use of alternate resources, such as Medicare, Medicaid, State health insurance programs, and private insurance. - Ensure that current eligibility criteria followed in the administration of the CHS program which requires familiarity with the regulations and ability to explain the regulations to providers and CHS Program staff. Obtain clarification from KPHC . attorney when appropriate. Prepare necessary correspondence to providers and patients concerning patient eligibility for CHS assistance. Upon request, or as deemed necessary, provide orientation to staff to explain the unique requirements of the CHS Program. - Maintain appeal records files in keeping with the appeal process contained in Federal regulations or policies. Informs and advises Health Center Director when it appears that a denial may be without merit or may result in a appeal to the IHS Area Director or Headquarters. Prepare response to- appeals after obtaining and researching the required supporting data within the Health Center or at the Santa Fe Service Unit. - Responsible for reporting potential cases which may qualify for the Catastrophic Health Emergency Fund (CHEF); work closely' with CHS staff and Health Center Staff to report, manage, and monitor the high cost cases funded through the CHEF program as established by P.L 100-7 13 Section 202 and ensures timely close out of all CHEF cases. - Work with the SDHC CHS Program and Santa Fe Service Unit CHS staff to maintain an active education, training and CHS awareness program. Assist with presentations on CHS eligibility requirements to patients, private providers, other agencies, and the general public. - Enhance professional growth and development through participation in educational programs, meetings and workshops. - Maintain positive participation in all levels of the decision making process. - Position will have supervisory responsibility of permanent, full-time CHS Clerk and CHS Case Manager, as well as other temporary employees. - May be required to perform other duties that may be necessary or in the best interest of the Kewa Pueblo Health Corporation and its' programs. - Ensure each individual treated is registered and has a health record at the clinic. - Maintains compliance with accrediting agencies. - Performs routine audits to ensure compliance with HIPAA and other federal, state and local laws and regulations. Qualifications: Experience: - Two or more years experience in duties & responsibilities specified. Education: - Minimum of Bachelor's degree in health care, financial or related field and at least two years experience in health care or direct patient care required. Work Type: Permanent, Full Announcement #: KPHC-CHSPM Who May Apply? All Groups of Qualified Individuals
Type: Tribal Salary Range: $41,321 to $51,652 / Per Year Open Period: 12/22/2014 to 12/22/2015 Summary: Job Title: CHS Program Manager Job Summary: KPHC is seeking one full-time CHS Program Manager to work at the Santo Domingo Health Center. Santo Domingo Health Center operation hours are Monday-Friday 8am-5pm. KPHC offers a benefits package including 100% company paid health, vision and dental insurance, 401K, Life/Short term disability, paid vacation and 10 paid holidays. Position Details: The CHS Program Manager is responsible for managing the overall SDHC CHS Program; providing support and technical assistance to SDHC management on matters involving CHS including medical, surgical, dental, hospital and clinical services to all eligible beneficiaries in conjunction with or in lieu of IHS facilities; oversees the program planning, program development, administration, management, operation, and evaluation of the SDHC CHS program; and maintains the effectiveness and efficiency of the CHS program. Salary Range: $41,321.96 - $61,982.94 Open Period: Until Filled Position Information: Full Time How To Apply: To apply for this position, you must provide a copy of your resume, cover letter, employment application, and degree to: Santo Domingo Health Center Attn: Human Resources P.O. Box 340 Santo Domingo, NM 87052 or Email: egallegos@kp-hc.org FAX to: 505-465-1191 Duties: Essential Duties, Functions and Responsibilities: - Develop, coordinate, and integrate operational plans in accordance with approved policies and directives pertinent to the administration and management of the SDHC CHS Program. Plans provide program goals and operating guidelines; define and communicate objectives and priorities; and interpret provisions of regulatory and procedural issuances. Program planning typically involves adapting general guidelines and precedents to new or changed situations and the application of new alternative methods, techniques, and approaches. Develop an annual CHS operational budget to maximize the funds allocated for CHS each fiscal year. - Develop statistical data from available reports and other sources for the purpose of reviewing, approving, and recommending changes to the SDHC CHS Program operations or budget. Monitor CHS operational budget and submits written requests for supplemental CHS funds, including budget information for tribal, State, IHS or Federal hearings. - Maintain monthly funds status reports to provide current CHS funding level to KPHC Board and Health Center Director and maintain funding levels within operational budget. - Review, analyze, and summarize pertinent financial, statistical, and program data. Monitor the utilization level of CHS funds and advise all Health Center Director as to the current usage of existing contracts to maintain maximum efficiency, arid effectiveness. - Provide interpretation of guidelines, verification of claims, appropriateness of services, and irregularities in billing information received to Health Center Director and CHS Program staff for as needed regarding services with hospitals, clinics, physicians, dentists, and other providers. - Convene and facilitate Quality Assurance/Utilization Reviews by conducting monthly (or as required) CHS Committee meetings. - Monitor and evaluate private contractors through continuous customer surveys and on-going open communication. - Establish and maintain mechanisms for assuring that patients register for benefits for which they may be eligible to ensure that CHS is the last payor for medical services, which requires knowledge of availability and use of alternate resources, such as Medicare, Medicaid, State health insurance programs, and private insurance. - Ensure that current eligibility criteria followed in the administration of the CHS program which requires familiarity with the regulations and ability to explain the regulations to providers and CHS Program staff. Obtain clarification from KPHC . attorney when appropriate. Prepare necessary correspondence to providers and patients concerning patient eligibility for CHS assistance. Upon request, or as deemed necessary, provide orientation to staff to explain the unique requirements of the CHS Program. - Maintain appeal records files in keeping with the appeal process contained in Federal regulations or policies. Informs and advises Health Center Director when it appears that a denial may be without merit or may result in a appeal to the IHS Area Director or Headquarters. Prepare response to- appeals after obtaining and researching the required supporting data within the Health Center or at the Santa Fe Service Unit. - Responsible for reporting potential cases which may qualify for the Catastrophic Health Emergency Fund (CHEF); work closely' with CHS staff and Health Center Staff to report, manage, and monitor the high cost cases funded through the CHEF program as established by P.L 100-7 13 Section 202 and ensures timely close out of all CHEF cases. - Work with the SDHC CHS Program and Santa Fe Service Unit CHS staff to maintain an active education, training and CHS awareness program. Assist with presentations on CHS eligibility requirements to patients, private providers, other agencies, and the general public. - Enhance professional growth and development through participation in educational programs, meetings and workshops. - Maintain positive participation in all levels of the decision making process. - Position will have supervisory responsibility of permanent, full-time CHS Clerk and CHS Case Manager, as well as other temporary employees. - May be required to perform other duties that may be necessary or in the best interest of the Kewa Pueblo Health Corporation and its' programs. - Ensure each individual treated is registered and has a health record at the clinic. - Maintains compliance with accrediting agencies. - Performs routine audits to ensure compliance with HIPAA and other federal, state and local laws and regulations. Qualifications: Experience: - Two or more years experience in duties & responsibilities specified. Education: - Minimum of Bachelor's degree in health care, financial or related field and at least two years experience in health care or direct patient care required. Work Type: Permanent, Full Announcement #: KPHC-CHSPM Who May Apply? All Groups of Qualified Individuals
Salary : $41,321 - $51,652
