PRC Claims Analyst, Purchased/Referred Care

Summary of Job Description: Incumbent in this position reviews, evaluates and processes requests for assistance made to the Tribal Purchased/Referred Care program. Minimum Requirements: Knowledge of IHS Purchased Referred Care Programs & Services or ability to learn Knowledge of medical terminology, ICD-10 and CPT coding Knowledge of Medicare, Medicaid and other payers’ reimbursement policies and procedures Intermediate Word and Excel skills (skill level determined by testing) Strong knowledge …