Health Benefits Specialist I - Outreach and Enrollment Job at Alaska Native Tribal Health Consortium
Our vision: Alaska Native people are the healthiest people in the world.
Benefits include:
- Generous Paid Time Off and holiday schedule. 4 weeks paid vacation per year to start and 12 paid holidays.
- More than 19 Federal healthcare plans. Plans for employee, employee plus one, and employee plus family available. ANTHC covers 80% of all health insurance premiums and 100% of Short-Term Disability, Long-Term Disability, Dental, Vision, Basic Life, and AD&D.
- 401(a) retirement plan; ANTHC will contribute 3% of your annual compensation to the plan account each year, with up to an additional 5% match. 6-year vesting schedule.
- 403(b) retirement savings plan pre-tax and Roth options. Flexible Spending Accounts for Health Care and Dependent care are also available.
- Onsite Child Care in a brand new education facility.
- Onsite free gym access. Additional gym, rock climbing wall and salt-water pool available at the Alaska Pacific University for a small fee per semester. Steep discounts on outdoor equipment rentals available for your Alaskan adventures!
- Tuition reductions for employees and their eligible dependents at the Alaska Pacific University.
Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act.
Summary:
Under close supervision, interview/screen referred patients to determine eligibility for alternate health resources. Assist the patient with successful completion of applying for eligible programs such as Medicaid, Medicare, VA Health Benefits, or Federally Facilitated Marketplace enrollment.
Responsibilities:
REPRESENTATIVE DUTIES
Customer service experience; must be able to communicate effectively with patients and families to provide updates on application information and required documents needed for program eligibility.
Work collaboratively with other members of the team/department, as well as outside agencies, to ensure a standard of customer services and professionalism. Must be able to work with and be a productive member of a team.
Ensures accuracy of electronic health records and other database systems to assure accurate processing of information for tracking and reporting.
Maintain patient records and confidentiality .
Performs other duties as assigned or required.
KNOWLEDGE and SKILLS
All
• Knowledge of Alaska Tribal Health System, ANTHC, and Alaska Native culture(s) and politics.
• Knowledge of health payer resources (Medicaid, Medicare, Private Insurance, Commercial Insurance, Veterans Administration) and the appropriate application process.
• Skill in oral and written communication.
• Skill in managing multiple priorities and tasks concurrently and meeting deadlines.
• Skill in establishing and maintaining cooperative working relationships with others.
• Skill in operating a personal computer utilizing a variety of applications .
• Skill in problem solving and working independently.
• Skill in working in multiple settings or department as assigned .
· Ability to work with patients who may be terminally ill, homeless, or require special assistance.
MINIMUM EDUCATION QUALIFICATION
A high school diploma or GED equivalent.
MINIMUM EXPERIENCE QUALIFICATION
Health Benefits Specialist I
Non-supervisory – One (1) year of experience, within the last 12 months, working in an office setting with health insurance experience to include Medicaid, Medicare or the Health Insurance Marketplace, performing data entry, quality customer service, in-person and on-phone customer interactions, email correspondence with members of the team and other members of the organization as well as outside agencies. Must be capable of mastering outpatient screenings for referred patients.
Health Benefits Specialist II
Non-supervisory – Must have 2 years’ experience, working in an office setting with health insurance experience to include Medicaid, Medicare or the Health Insurance Marketplace, performing data entry, quality customer service, in-person and on-phone customer interactions, and email correspondence with members of the team and other members of the organization as well as outside agencies.
Must have successfully mastered Two (2) of the following areas of HBS duties and have a combined total of 2 years’ experience in those areas. Experience at an outside agency may be included but will be reviewed on a case-by-case basis.
Inpatient screening
Outpatient screening
Purchased referred care screening and enrollment
Tribally Sponsored Health Insurance Program (TSHIP)
Health Benefits Specialist III
Non-supervisory – Must have 3 years’ experience, working in an office setting with health insurance experience to include Medicaid, Medicare or the Health Insurance Marketplace, performing data entry, quality customer service, in-person and on-phone customer interactions, email correspondence with members of the team and other members of the organization as well as outside agencies, and knowledge of community resources.
Must have successfully mastered Three (3) areas of HBS duties and have a combined total of 3 years’ experience in those areas. Experience at an outside agency may be included but will be reviewed on a case-by-case basis.
Inpatient screening
Outpatient screening
Purchased referred care screening and enrollment
Tribally Sponsored Health Insurance Program (TSHIP)
HBS Trainer
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