Healthcare Fund Billing Represenative
HCF Office, Belau National Hospital
Depending on qualifications.
Must have at least a two-year degree in Office Administration, Accounting or equivalent work experience. Must be public oriented, have well-developed communication, and interpersonal skills. Must be computer literate with knowledge of Excel, Word, and other related office software. Must read and speak English and Palauan.
Duties and Responsibilities:
1. Responsible for processing deductions from medical savings accounts to pay for services at Belau National Hospital's Outpatient Department
2. Responsible for ensuring that all HCF Rules and Regulations and /or policies are adhered to, including but not limited to the following: Priority of Order of MSA Deductions, Deadline for Submission of Enrollment and Effective Date of Beneficiaries Coverage, and Effective Date of NHI Coverage
3. Responsible for explaining HCF program benefits and policy requirements to patients and inquiring customers
4. Responsible for verifying daily MSA deduction report at the end of every day
5. Provide backup in the event of the HCF Benefits and Claims Representative's absence
6. Perform other tasks as assigned by the Healthcare FUnd Services Manager or the Social Security Administrator
Employment applications can be picked up from the Social Security Office. Please forward your completed application, along with a resume and cover letter to the attention of Bibrekei Rengulbai.
The Healthcare Fund, as administered by Social Security Administration, would like to remind all employed and self-employed individuals that pursuant to Section 302 of HCF Regulations, you need to complete your enrollment form as soon as possible, if you have not done so already. Completing your enrollment form will make it possible for you to do any of the following:
1. Enroll your dependents (spouse and children) on your HCF enrollment for them to be covered under your National Health Insurance (NHI) and to be able to use your Medical Savings Account (MSA).
2. Designate beneficiaries on your enrollment form in order to them to be able to use your Medical Savings Account (MSA). Designated beneficiaries are allowed access to your MSA only.
Since that eligibility to use either NHI and MSA for dependents or MSA for designated beneficiaries depends on when they are enrolled, the Administration recommends that you complete your enrollment form as soon as possible to ensure coverage and access to both NHI and MSA for dependents and access to your MSA for designated beneficiaries, when needed.
To complete your enrollment form, you need to come to Social Security Administration Office and talk to any of the staff at Member Service Section during regular business hours from Monday to Friday, 8 am to 5 pm.
A Healthcare Fund el ngar cheungel a Social Security Administration a omeklatk er tirkel rokui el chad loureor el kmo, a doltirakl ra Section 302 ra HCF regulation e ngkirir a rokui el chad loureor el mera obis e complete a enrollment form er tir ra mereched el time. Sel obem moruul ra enrollment er kau eng sebechem el remuul aikakid el tekoi:
1. Ke lmuusch a ngklir a re dependents er kau (bechim ma rengelkem) ra HCF enrollment form me te mo sebechir el mo covered ra National Health Insurance(NHI) e dirrek el mo sebechir lousbech ra Medical Savings Account(MSA) er kau.
2. Ng sebechem el lmuusch a re ngklir a rechad el mo designated beneficiary er kau el tir a mo sebechir lousbech ra Medical Savings Account(MSA) er kau.
A re dependents er kau ma re designated beneficiaries er kau a mo sebechir lousbech ra NHI ma MSA er kau, al sekum me keme complete ra enrollment form er kau ra obis ra Social Security Administration. A Administration a kmal mengemedaol er tirkel dirkak el bel enroll me loutekangel el mera obis ra mereched el taem mele complete ra enrollment er tir mel sebechir a re dependents ma re designated beneficiaries er tir el mo ngara insurance ra mereched el taem.
Tial Obis ra Social Security Administration a kmal dinglai a chesmerel er a Monday el mo Friday ra 8 a.m. el mo 5 p.m. meng kmal sebechel a ngidil chad el me ra obis e complete ra enrollment form er ngii.
The Office of HCF and Social Security Administration want to announce to all the HCF Beneficiaries that MSA Statement will no longer be mailed to each respective beneficiary anymore.
Both offices want to inform Beneficiaries that anyone can come to the office during regular working hours and get their MSA Statement. Please be advice that any information regarding MSA Statement cannot and will not be given over the phone.
The Administration in its service to the public seeks to develop a cost effective service that remains economically efficient.
If you have any questions or concerns about your MSA Statement, you can call SS Office at 488-2457 or HCF Office at 488-1904 during regular working hours (8:00 a.m. to 5:00 p.m.), Monday to Friday.
A Obis ra HCF ma Social Security Administration a ouchais er a rechad el ngar ngii a MSA er tir el kmo ng modiak ki mail a MSA Statement el mo er tir lomuchel er tial merael mei el buil el November 2012.
Ngidil chad el soal el mo medengelii a MSA er ngii a kmal ongtiall el mera obis ra SS ma lechub eng obis ra HCF el ngara klou el ospitar e nguu a MSA Statement er ngii. Aikal teblol obis a kmal lomeklatk ra rokui el chad el kmo ng diak el sebechel a ngidil chad lomkedong ra SS ma lechub eng Obis ra HCF el loker ra MSA balance er ngii. Ngidil chad el ngar ngii a MSA er ngii e soal mo medengelii a balance er ngii a kmal kirel mera ikal teblol obis enguu a statment er ngii.
A Administration a kmal melasm el oureor lobengkel a buai el meruul ra urerel el lultuil ra klungel a yosang ra HCF er chelchal taem e direk el kmal mo ngosuir a HCF ra kemanget el taem el merael el mei.
RFP 12-RPSS-04. Republic of Palau Social Security Administration is soliciting through Request for proposal from any Insurance company to develop a comprehensive medical insurance coverage for Social Security Admnistration's Employees and their dependents.
Posted October 2012
Any interested bidder must submit their bid proposal by November 12, 2012 and received at the Social Security Administration no later than 4:30 p.m. local time. It can be sent electronically but originals must be submitted by mail or physical delivery to the Social Security Administration. Request for Proposal Number must be clearly marked on the outside of the envelope. PUBLIC NOTICE: October 11, 2012 - November 12, 2012.
Any interested bidder must submit their bid proposal on October 10, 2012 and received at the Social Security Administration no later than 5:00 p.m. local time. it can be sent electronically but originals must be submitted by mail or physical delivery to the Social Security Administration. Request for Proposal Number must be clearly marked on the outside of the envelope. PUBLIC NOTICE: September 20, 2012 - October 10, 2012.
REQUEST FOR PROPOSAL NO: RFP 12-RPSS-02. The Republic of Palau Social Security Administration is soliciting throug Request for Proposal(RFP) from any individual or firms to develop Policies and Procedures manual for the entire Social Security Administration operation.
Posted August 2012
1. Proposer is requested to review the existing accounting manual/practices, to organize, update and develop the entire Social Security Administration accounting policies and procedures.
2. Proposer is requested to review the existing employee peronnel manual including job descriptions, salary structure, and employee classification.
3. To view the existing procurement policies, fixed assets policy, to review existing workflow and issue recommendation for internal control purposes and compliance.
4. Proposer is requested to review the current audit non-compliance issues and to develop policies accordingly.
Any interested bidder must submit their bid proposal on September 30, 2012 and received at the office of Social Security Administration no later than 4:30 p.m. local time. It may be submitted electronically or by mail or by physical delivery to the Social Security Administration.
REQUEST FOR PROPOSAL(RFP): SSA Audit 2012-01. The Republic of Palau Social Security Administration is soliciting proposal for performing a single audit of the ROP Social Security Retirement Fund and HealthCare Fund for Fiscal Year ended September 30, 2012.
Plans and information on the RFP may be obtained at the SSA office in Koror during SSA office hours from Monday through Friday, except during ROP holidays.
Posted August 2012
Any interested Auditing Firms are requested to submit their proposals, either through delivery at the Post Office at the above SSA address or to the SSA office in Koror. All bids must be sealed and addressed to the attention of the Social Security Administrator, Satoru W. Adachi, and received no later than 5:00 p.m., local time on September 28, 2012. The ROP SSA reserves the right to cancel and reissue an amended RFP and or reject any or all submitted proposals.
The Social Security Administration would like to remind the public that pursuant to Section 404 of the Healthcare Fund Regulations, individuals may authorize funds from their medical savings accounts to pay for existing private health insurance premiums. You may also begin authorizing your MSA to pay for private health insurance premiums for eligible dependents and designated beneficiaries that you have enlisted in your HCF Enrollment Form.
To participate in this arrangement, interested individuals must complete a form provided by the Social Security Administration called “Authorizing Payment from my MSA to my Private Health Insurance Carrier”. If anyone has any questions regarding this announcement, please call Social Security office at 488-2457 or the HCF office at 488-1904. For further information or to pick up authorization forms, please visit the Social Security Administration or call 488-2457.
On January 23, 2012, the Asian Development Bank (ADB) officially released a publication entitled “Sustainable Health Care Financing in the Republic of Palau”.
In a transmittal to Vice-President Kerai Meriur, chairperson of the Healthcare Fund (HCF) Governing Committee, ADB Country Specialist Anthony Gill explains, “This publication celebrates the excellent work your government undertook in preparing and implementing the scheme. The publication is also intended to encourage other Pacific Island Countries to consider this approach.”
According to ADB’s official website, the publication “describes the successful development in 2008–2009 of draft legislation aimed at reforming health care financing in Palau, and its enactment by the legislature and signature by the President of the country in 2010.”
The successful development and enactment of that legislation led to the establishment of the HCF program, which is currently administered by the Social Security Administration. The HCF consists of two components: individual Medical Savings Accounts (MSAs) and National Health Insurance (NHI).
MSA funds are used to pay for outpatient medical services at Belau National Hospital (BNH) and participating private clinics, as well as private health insurance premiums. NHI is a pooled social health insurance fund for inpatient care at the BNH and approved medical referrals to the Philippines.
After six months since the establishment of Medical Savings Accounts and the National Health Insurance, the HCF is conducting a public survey that will help determine what can be done to improve and enhance the program and to see what additional services can be covered.
The Healthcare Fund, under the Social Security Administration, would like to inform the public that Torsten Schaudt Physiotherapy are now accepting medical savings accounts (MSAs). This brings the total number of private clinics currently accepting MSAs to six. Other private clinics also accepting MSAs are Belau Medical Clinic, Pacific Family Medical Supply, and MH Dental Clinic, Community Wellness Clinic, and OpticVision Optical Clinic.
We would like to remind the public that pursuant to Section 406 of the Healthcare Fund Regulations, the amount paid out of a medical savings account for a covered service at a private clinic shall not exceed the amount that would be paid to Belau National Hospital for the same service.
This means that if a service that a private clinic charges is more than what BNH would charge, then the private clinic patient must pay the excess amount out-of-pocket. If the private clinic charges less than what BNH would charge for that same service, then the patient can use his MSA to pay for that specific service with no out-of-pocket expense.
If anyone has any questions regarding this announcement, please call the HCF office at 488-1904.
A Healthcare Fund, el ngara eungel a Obis ra Social Security, a okiu tial subed e ouchais ra chad era beluu el kmo ngmla mo sebechemiu el ousbech ra medical savings account (MSA) er kemiu ra Torsten Schaudt Physiotherapy. Ngmla mor ngii a elolem el clinic el mla mo ousbech a MSA, uldimukl ra Belau Medical Clinic, Pacific Family Medical Supply, MH Dental Clinic, Community Wellness Clinic, OpticVision Optical Clinic.
A doltirakl ra Section 406 ra Healthcare Fund Regulations ea Obis ra Social Security Administration a di sebechel el harau ra private clinic a di osisiu el klungel a cheral a ukeruul el harau er ngii ra klou el osbitar. Malsekum a cheral a ukeruul er kau ra private clinic a ngar bab ra cheral er sel losisiu el bedengel a ukeruul ra klou el osbitar eng mo kirem el harau er sel mo sbesel. Ealsekum a ukeruul er kau ra private clinic a kuk kesai a cheral er sel losisiu el bedengel a ukeruul ra klou el osbitar eng sebechem el di ousbech ra MSA e diak bo mousbech a di ududem el harau.
Alsekum eng ngarngii a ngodech el kerim el kirel tial subed, e ke ongtiall el omekedong ra Obis ra Healthcare Fund, el lambang ra dengua er ngii a 488-1904.
The Healthcare Fund, under the Social Security Administration, would like to inform parents that if your dependent child is between 18 and 21 years of age, a “Certification of School Attendance” must be completed and submitted to the Social Security office as proof of eligibility for National Health Insurance.
Your child may continue to use your medical savings account but will not be eligible for coverage under National Health Insurance without a valid “Certification of School Attendance”. Forms are available at the Social Security office or the new HCF office at Belau National Hospital.
The HCF would also like to inform parents that if you have listed your 21 year old child as a dependent, but he/she is now 22 years old, he/she will NO LONGER have access to your medical savings account or be eligible for coverage under National Health Insurance. If you would like him/her to continue to use your medical savings accounts, you must visit the Social Security Administration to list your child as a designated beneficiary.
If you have any questions regarding this announcement, please visit the Social Security office or call us at 488-2457/1823.
Subed El mora Rechedam ma Rechedil El Ngarngii A Re Dependent el Ngar Bab Ra Teruich ma Eai a Rekrir
A Healthcare Fund, el ngar eungel a Social Security Administration, a ouchais ra rechedam ma rechedil el kmo, alsekum ea ngelekem a ngara teruich ma eai el mora lluich ma tang a rekil (18-21 years old), e somiu a lolemolem el ousbech ra National Health Insurance er kau, eng reuoll a babilingel el mo olecholt el kmo ngdirk ngara skuul.
Tial form el domekedong er ngii el kmo “Certification of School Attendance” a sebechemiu el me nguu ra obis ra SS malechub eng sel beches el obis ra HCF el ngara Belau National Hospital, e nguu el mor sel skuul el ngar ngii a ngelekem me te rullii e kom lmuut el nguu el mera obis ra SS.
Tiang a mo olechotel el kmo a ngelekem a sebechel el melemolem el lousbech ra Medical Savings Account ma National Health Insurance er kau. A ngelekem a mo diak el sebechel lousbech ra National Health Insurance alsekum eng dikea tiaikid el form el “Certification of School Attendance”. Engdi ngmo sebechel el lousbech er a Medical Savings Account er kau.
A osisiu el taem ea HCF a soal lomeklatk ra rechedam ma rechedil el liluches a ngklir a rengelekir el mle lluich ma tang a rekrir (21 years old) el kmo te “dependent”, engdi ngkal ngalek a mla mo lluich ma erung a rekil (22 years old), e ngkal ngalek a mo diak el sebechel lousbech ra Medical Savings Account malechub eng National Health Insurance er kau.
Engdi alsekum eng soam a ngelekem a lousbech ra Medical Savings Account er kau eng kirem el mera SS obis me ke osisebii a ngklel ngkaikid el lluich ma erung a rekil el ngelekem el mo tara “designated beneficiary” er kau.
A lengarngii a kerim el kirel tial subed, e moutekangel el mera Obis ra Social Security Administration malechub e momekedong er a 488-2457/1823.