Contact Representative (Prc) Job

Indian Health Service

Key Skills:Healthcare AdministrationEligibility VerificationCustomer ServiceData Entry and Record MaintenanceRegulatory ComplianceFinancial Record KeepingAttention to DetailConflict Resolution

Launch Your Career in Healthcare Administration with the Indian Health Service

Are you looking for a career that combines administrative expertise with a commitment to public service? The Indian Health Service (IHS) is actively recruiting for Contact Representative (PRC) positions across the country. These roles are critical to the mission of providing quality healthcare to American Indian and Alaska Native communities.

About the Indian Health Service

The Indian Health Service is an agency within the Department of Health and Human Services responsible for providing federal health services to American Indians and Alaska Natives. Joining the IHS means becoming part of an innovative, interdisciplinary team dedicated to addressing unique health challenges and improving the well-being of over 2 million people.

Job Responsibilities

As a Contact Representative, you will handle the essential "back-office" functions that keep clinics and hospitals running smoothly. Key duties include:

Eligibility Verification: Assisting patients in understanding and applying for programs like Medicare, Medicaid, and Tribal assistance.
Authorization Management: Issuing medical authorizations and handling denial determinations based on complex regulatory guidelines.
Coordination of Care: Communicating with healthcare providers and agencies to ensure patients receive continuity of care.
Fiscal Accountability: Monitoring expenditures, maintaining records, and ensuring that financial coding is accurate.

Comparison of Grade Levels

Feature	GS-06	GS-07	GS-08
Complexity	Foundational	Advanced Operational	Strategic/Complex
Regulatory Focus	Standard guidelines	Program-specific policies	Multi-agency complex policies
Analytical Depth	Basic records	Discrepancy resolution	Advanced reporting & funding

Requirements

To be eligible, candidates must meet specific professional and legal standards, including:

Citizenship: You must be a U.S. citizen.
Background Check: You must pass a federal background investigation.
Financial Integrity: You must demonstrate financial responsibility as part of the suitability process.
Immunization: Compliance with IHS Employee Immunization Policies is mandatory for all healthcare facility personnel.

Salary Overview

Salaries for these positions range from $45,409 to $72,644 per year, depending on the grade level, duty location, and specific job duties.

Benefits

Federal employment with the IHS comes with an industry-leading benefits package:

Comprehensive Health Insurance
Life and Disability Insurance
Thrift Savings Plan (TSP)
Generous Paid Time Off
Career Development and Training

Application Tips

Detail Your Resume: List your experience clearly, including how many hours per week you worked in each role.
Highlight Skills: Emphasize any past experience with insurance billing, medical coding, or client-facing eligibility roles.
Submit Timely: Don't wait until the last minute. Complete your profile early to avoid technical issues.
Use Official Forms: If claiming Indian or Veterans Preference, ensure you submit the required documentation (BIA-4432 or DD214) during the initial application.

A role as a Contact Representative is more than just a job; it is a chance to participate in a vital mission. If you possess the organizational skills and dedication required, apply today to support the health and vitality of indigenous communities across the U.S.

Why This Contact Representative (Prc) Job Matters

Make a meaningful impact on healthcare access for American Indian and Alaska Native communities as a Contact Representative with the Indian Health Service.

Contact Representative (Prc) Job Overview

The Indian Health Service (IHS) is seeking dedicated professionals for Contact Representative (PRC) positions across multiple locations. You will play a vital role in the healthcare administration cycle, serving as a primary point of contact for patients and providers. Your work will directly facilitate patient access to essential healthcare services by verifying eligibility, managing medical authorizations, and navigating complex insurance and tribal benefit programs. This role is perfect for those who are service-oriented, detail-focused, and committed to improving health outcomes for indigenous communities.

Requirements for Contact Representative (Prc)

U.S. Citizenship.
Background investigation and suitability determination.
Selective Service registration for males born after December 31, 1959.
Must possess a valid bank account for direct deposit of salary.
Compliance with the IHS Employee Immunization Policy.
Must provide two valid forms of ID (REAL ID-compliant if applicable).
Must complete required USA Hire Assessments within specified timeframes.

Preferred Qualifications for Contact Representative (Prc)

Experience identifying/verifying eligibility for Medicare, Medicaid, or private insurance.
Proficiency in interviewing patients for benefit documentation.
Skills in managing medical authorizations and denial determinations.
Ability to analyze financial and medical data to resolve complex discrepancies.
Expertise in interpreting federal, state, and Tribal healthcare regulations.

Federal Benefits & Perks

✓Comprehensive federal health insurance options.
✓Defined benefit retirement plan and Thrift Savings Plan (401k equivalent).
✓Generous paid vacation and sick leave.
✓Flexible work schedules and federal holidays.
✓Career growth and training opportunities within the U.S. Federal Government.

💡 How to Apply Contact Representative (Prc) Job & Insider Tips

Application Steps for Contact Representative (Prc) Job

Create or update your USAJOBS profile.
Review the full vacancy announcement carefully.
Prepare your resume with clear duty descriptions and hours worked per week.
Submit your application through the USAJOBS portal before the cutoff date.
Complete the required USA Hire Assessments if prompted via email link.
Monitor your application status and check notifications in your USAJOBS account.

💡 General Tips

Tailor your resume to reflect the specific experience levels requested (GS-06 to GS-08).
Ensure your resume includes total hours worked per week for every position listed.
Complete the background investigation forms promptly once instructed.
Verify that all supporting documents (like Indian Preference or Veterans' documents) are legible and attached before submission.
Do not overstate your qualifications; honesty is critical during the review process.

Frequently Asked Questions

What is the primary role of a Contact Representative (PRC)?

You act as a bridge between patients, healthcare providers, and insurers. You determine benefit eligibility, process medical authorizations, and ensure that patients receive the care they need through appropriate funding channels.

Is this a remote position?

No, these are on-site positions located at various Indian Health Service facilities throughout the United States.

What is the significance of the GS grade levels?

The GS grade reflects the complexity of the work and required experience. GS-06 is entry-to-mid level, while GS-08 involves more complex, independent analysis of federal and tribal regulations.

What happens after I submit my application?

Your qualifications are reviewed by HR. You may be asked to complete USA Hire assessments. If qualified, your file will be referred to hiring managers at the locations you selected.

What if I don't have healthcare experience?

*A: While medical billing experience is preferred, transferable skills in finance, customer service, or public-sector administration are highly valued.*

Can I apply for multiple locations?

*A: Yes, you may select up to five locations during the application process.*