Southeast Alaska Regional Health Consortium Hiring For Patient Health Benefits Specialist I at Sitka, AK, United States Full Time

Job Description

About Us::

SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.

Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health, dental, and vision benefits, life insurance and long and short-term disability, and more.
Job Overview::

The Health Benefits Specialist is responsible for providing frontline health benefits enrollment to patients. Serves as a resource and referral person for patients for initiating health care coverage. The Health Benefits Specialist role is to determine whether patients currently have a third party payer. If not insured, the Health Benefits Specialist screens and evaluates whether customer-owner may qualify for any known payer sources, i.e., Medicaid, Medicare, Denali Kid Care, VA, Federal Insurance Marketplace, Sliding Discount, and provides assistance to the patient for the enrollment process. The Health Benefits Specialist assists SEARHC to achieve the goal of increasing the number of patients enrolled with a third party payer.
Responsibilities::

• Knows, understands, incorporates, and demonstrates the Mission, Core Values, and Vision in behaviors, practices, policies, and decisions.
• Develops and maintains collaborative, team relationships with peers and colleagues to contribute to the working group’s achievement of goals effectively, and to help foster a positive work environment. Creates, develops, and nurtures culturally appropriate interactions and connections with each other, patients, and the community.
• Protects confidentiality and applies knowledge with all applicable laws, policies, procedures, bylaws, regulatory requirements, and best practice guidelines regarding Privacy of Healthcare Information, Corporate and Healthcare Compliance.
• Provides exceptional customer service in assisting patients enrolling in third party payers including Medicaid, Medicare, Denali Kid Care, VA, Federal Insurance Marketplace, and Sliding Discount. Obtains and documents necessary information accurately and timely.
• Enter data into MapsIQ health benefit tracking software and other systems. Monitors and maintains statuses from initiation to resolution. Tracks additional data elements as necessary.
• Responsible for establishing payment plans and collecting true self-pay and self-pay residual balances, as appropriate.
• Distributes health benefits material to patients, community members, partner organizations and businesses to build coverage option awareness.
• Coordinate with local and regional organizations and Tribal Nations to build awareness of coverage options.
• Completes and attends all required training programs and participates in conference calls, webinars or other professional or team development activities.
• Reviews, verifies, and confirms current third party payer information in EHR.
• Provides administration assistant type work to Health Benefits department including mail outs, data clean up, and other assigned duties.

Qualifications::

Education:

• High school diploma or GED

Experience:

• 2 years prior experience performing administrative and customer service duties with a preferred one-year of experience performing revenue cycle duties which can include scheduling, registration, health information management, coding, billing, and/or collections experience; or demonstrated proficiency screening patients for insurance and alternate resources

Licensure and Certification:

• Certification as CMS Certified Application Counselor (CAC) or obtain within 45 days of hire

Other:

• Ability to travel by all forms of transportation to outlying communities for outreach efforts
• Proficient in data entry and computer applications

Knowledge, Skill, Ability and Behavior:

• Self-starter
• Commits to additional learning opportunities to continue to develop the technical and professional skills needed
• Provide excellent customer service skills working with patients in difficult and complex situations
• Performs job with minimal supervision and demonstrates problem-solving skills
• Administrative and clerical knowledge including word processing, managing files and records, office procedures, computer software
• Demonstrate time-management and organizational ability
• Read and comprehend instructions, correspondence, and memos
• Effectively communicate information verbally and through written communication
• Actively look for ways to help people
• Excellent interpersonal skills and have the ability to interact on a professional level with individuals from diverse backgrounds