Koniag · 1 week ago
General Clerk II
Poplar, MT 59255, USA
Full-time
Onsite
New Grad, Entry LevelKoniag Advisory Business Solutions, LLC, a Koniag Government Services company, is seeking a General Clerk II to support KABS and our government customer at Poplar, MT. This role involves providing advanced administrative support for the Purchased Referred Care program, ensuring patients receive appropriate healthcare coverage and authorization.
Financial ServicesImpact InvestingWealth Management
No H1B
U.S. Citizen Only
Responsibilities
Assist in determining patient eligibility, scope of benefits, and priority levels for the PRC program
Review and analyze patient applications and supporting documentation
Apply PRC program guidelines and regulations to make eligibility determinations
Ensure compliance with federal Indian Health Service policies and procedures
Respond to complex PRC inquiries and requests via telephone, written correspondence, and in-person consultations
Provide detailed explanations of PRC benefits, limitations, and procedures to patients and families
Serve as a resource for PRC program information and guidance
Maintain professional communication with healthcare providers, patients, and families
Maintain comprehensive follow-up systems for Contract Health Services (CHS) patient files
Track patient cases from initial application through completion of services
Ensure timely processing of referrals and authorizations
Monitor case progress and coordinate necessary follow-up actions
Ensure proper allocation of funds for patient referrals, emergency call-ins, and follow-up care
Monitor budget constraints and funding availability for PRC services
Enter and verify authorizations, payments, cancellations, and supplements in PRC computer systems
Maintain accurate financial records and documentation
Process payment authorizations and modifications as required
Utilize PRC information systems for data entry, retrieval, and reporting
Maintain accurate and up-to-date patient records in electronic systems
Generate reports and track program metrics as needed
Ensure data integrity and security compliance
Qualification
Required
Meet minimum qualification requirements as outlined in prime contract
Advanced knowledge of PRC program regulations, eligibility criteria, and procedures
Strong analytical and problem-solving skills
Excellent verbal and written communication skills
Proficiency in PRC computer systems and database management
Ability to interpret and apply complex program guidelines
Strong attention to detail and accuracy in financial transactions
Successful completion of background check
Compliance with all IHS policies and procedures
Adherence to HIPAA privacy and security requirements
Participation in site-specific orientation and competency assessments
Computer security training and compliance
Ability to handle sensitive financial and medical information
Position may involve coverage at multiple BAIHS locations
Must be flexible to support continuous service delivery
May be required to assist with emergency authorizations outside normal business hours
Ability to obtain a Public Trust
Preferred
Previous experience with Indian Health Service or tribal healthcare systems
Knowledge of federal healthcare programs and regulations
Experience with contract health services or similar programs
Background in healthcare administration or patient services
Benefits
Health, dental and vision insurance
401K with company matching
Paid holidays
Paid Vacation
Paid sick leave
Company
Koniag
Koniag was incorporated on June 23, 1972, to manage the land and financial assets on behalf of the corporation.
Founded in 1972
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Ron Unger
Chief Executive Officer
Sharon Beeson
CFO
Recent News
2025-06-09
2025-03-27
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