General Clerk III

Koniag Advisory Business Solutions, LLC a Koniag Government Services company, is seeking a General Clerk III to support KABS and our government customer in Oklahoma, City, OK.   This is an SCA position. Benefits include medical, dental, and vision insurance, 401(k) retirement plan, paid time off, paid parental leave, life and disability insurance, flexible spending accounts, commuter benefits and tuition reimbursement. Koniag Advisory Business Solutions (KABS) is seeking a Purchased/Referred Care (PRC) Specialist to support the Indian Health Service (IHS) Oklahoma City Area Office and Shawnee Service Unit PRC program. This position supports patient registration, referral coordination, eligibility determination, purchase order processing, provider communication, financial obligations, and day-to-day administration of the PRC program. The successful candidate will be customer-focused, highly organized, comfortable working with multiple electronic systems, and able to manage competing priorities accurately and efficiently.   Schedule: Full-Time, Monday–Friday, 8-hour days between 7:30 a.m. and 5:30 p.m. CST   Key Responsibilities: Provide PRC orientation and guidance to patients, providers, and other stakeholders regarding program requirements, eligibility, and processes. Perform patient registration and update patient information in RPMS, including residency and PRC eligibility information. Assist patients in determining the appropriate PRC service area and redirect cases when necessary. Provide professional customer service by telephone and in person and ensure communications and follow-up actions are properly documented. Coordinate PRC referral appointments and obtain necessary dates of service and supporting information. Create and manage PRC financial obligations using applicable IHS, PRC, and Medicare-like rates. Monitor obligations and purchase orders to support timely processing and reduce aged or unresolved items. Process incoming referrals and emergency notifications and route them for appropriate review and action. Support PRC Care Coordination activities, including referral review, committee preparation, funding estimates, deferrals, and denials. Process EOBRs, purchase order actions, Fiscal Intermediary reports, and other PRC financial or administrative reports. Support Catastrophic Health Emergency Fund (CHEF) case coordination, tracking, obligation processing, and closeout activities. Maintain accurate PRC records, reports, logs, and required documentation. Communicate purchase order information and other required updates to providers. Support other PRC projects, reporting requirements, and administrative needs as assigned. Systems and Tools: The position requires the ability to learn and work effectively in multiple systems, including: RPMS Electronic Health Record (EHR) RCIS Vista Imaging PRC Toolbox Fiscal Intermediary systems Shared network folders Microsoft Office applications Required Qualifications: Experience in healthcare administration, patient registration, referral coordination, medical billing, eligibility, or a related administrative environment. Strong customer service and communication skills. Ability to manage multiple priorities and follow through on commitments. Strong attention to detail and recordkeeping skills. Familiarity with office automation systems and electronic records. Basic understanding of healthcare terminology, including ICD and CPT codes. Ability to learn IHS-specific PRC policies, procedures, funding requirements, and alternate resource rules. Ability to work effectively with patients, providers, coworkers, and program leadership in a professional and respectful manner. Preferred Knowledge and Experience: Previous experience with IHS, Purchased/Referred Care, Tribal health, healthcare referrals, or federal healthcare programs. Familiarity with PRC funding, purchase orders, alternate resources, or medical claims processing. Experience using RPMS or other IHS systems. Additional Requirements: Must work 100% onsite at the Oklahoma City Area Office. Telework or work-from-home arrangements are not available. Must successfully obtain and maintain the required IHS security clearance/suitability determination. Must maintain a training notebook and follow established PRC policies, procedures, and performance expectations. Duties may shift based on program needs, staffing changes, workload, and organizational priorities. Reports to the Director of Purchased/Referred Care. Candidate Documentation and Pre-Employment Submission Requirements: Final candidates will be required to provide documentation and information necessary to support background investigation, credentialing, and access processing, which may include: Government-issued identity documents for identity proofing. Information needed for fingerprinting and background investigation processing. Current address and prior residence history, as requested. Employment history and related verification information, as requested. Professional certification and training documentation, as required. Any other forms or supporting materials required by IHS, HHS, or authorized security officials.   Our Equal Employment Opportunity Policy The company is an equal opportunity employer. The company shall not discriminate against any employee or applicant because of race, color, religion, creed, ethnicity, sex, sexual orientation, gender or gender identity (except where gender is a bona fide occupational qualification), national origin or ancestry, age, disability, citizenship, military/veteran status, marital status, genetic information or any other characteristic protected by applicable federal, state, or local law. We are committed to equal employment opportunity in all decisions related to employment, promotion, wages, benefits, and all other privileges, terms, and conditions of employment.   The company is dedicated to seeking all qualified applicants. If you require an accommodation to navigate or apply for a position on our website, please get in touch with Heaven Wood via e-mail at accommodations@koniag-gs.com or by calling 703-488-9377 to request accommodations.   Koniag Government Services (KGS) is an Alaska Native Owned corporation supporting the values and traditions of our native communities through an agile employee and corporate culture that delivers Enterprise Solutions, Professional Services and Operational Management to Federal Government Agencies. As a wholly owned subsidiary of Koniag, we apply our proven commercial solutions to a deep knowledge of Defense and Civilian missions to provide forward leaning technical, professional, and operational solutions. KGS enables successful mission outcomes for our customers through solution-oriented business partnerships and a commitment to exceptional service delivery. We ensure long-term success with a continuous improvement approach while balancing the collective interests of our customers, employees, and native communities. For more information, please visit www.koniag-gs.com.   Equal Opportunity Employer/Veterans/Disabled. Shareholder Preference in accordance with Public Law 88-352