Thora Iron
Hardin,MT
Summary
Detail-oriented Medical Support Assistant with expertise in compliance monitoring, referral processing, and patient coordination. Proven ability to research complex cases and maintain fiscal controls, ensuring adherence to federal regulations.
Overview
4
4
years of professional experience
Work History
Medical Support Assistant-PRC
Crow Indian Health Service
Crow Agency, Montana
09.2022 - Current
- Provides clerical and administrative support for the Purchased/Referred Care (PRC) program.
- Receives, processes, and maintains PRC referrals, documentation, and records.
- Responds to routine PRC inquiries, and coordinates with PRC staff and clinical personnel.
- Uses electronic health record systems and office software while maintaining patient confidentiality.
- Serves as a Contact Representative in Purchased Referred Care administers eligibility determinations in accordance with federal regulations and IHS policy.
- issues medical authorizations or denial letters, ensures funds availability prior to obligation, and maintains fiscal controls in compliance with federal requirements.
- Researches complex cases, interprets regulations, prepares reports, and serves as a liaison with providers, tribal entities, and federal, state, and local agencies to ensure continuity of care and appropriate use of funds.
Education
Associate of Arts -
Northwest College
Powell, WY01-1997
High School Diploma -
St.Labre Indian School
Ashland, MT05-1996
Skills
- Electronic health records
- Compliance monitoring
- Referral processing
- Documentation management
- Patient coordination
- Effective communication
- Patient communication
- Team collaboration
Timeline
Medical Support Assistant-PRC
Crow Indian Health Service
09.2022 - Current
Associate of Arts -
Northwest College
High School Diploma -
St.Labre Indian School