General Clerk II

About the role

Koniag 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 position requires the candidate to be able to obtain a Public Trust. This position is covered under the Service Contract Act. We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, paid holidays, paid Vacation, paid sick leave and more.

Responsibilities

• PRC Eligibility & Program Management - 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.
• Customer Service & Communications - 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.
• Case Management & Documentation - 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.
• Financial Management & Systems - 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.
• Data Management - 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.

Qualifications

• 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.

Benefits

We offer a competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, paid holidays, paid Vacation, paid sick leave and more.

Skills

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.

Pay

Competitive compensation.

Schedule

Regular work schedule.