Insurance Verifications Representative - Utilization Management Department - Closes: 1/24/2023 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 general supervision, Performs all insurance verification functions and some scheduling, pre-registration and registration functions when patients are scheduled or same day visits at ANMC. Ensures that patient records are complete and correct in all patient information electronic databases, using standardized, quality and production focused processes while delivering excellent customer service.
Responsibilities:
Performs insurance verifications, scheduling and at times registers hospital and, or clinic patients ensuring complete and accurate patient records. Communicates with patients, legal representatives and insurance carriers, third party payers and their representatives to assure patient benefit levels, active coverage details, and authorization, pre-authorization requirements as necessary.
Interviews patients and insurance carrier representatives to data input, verify, reinstate and update records in billing system information according to prevailing customer service standards. Registers and completes new and existing patient records. Verifies and seeks assistance of fellow team members (Scheduling, Eligibility, Contract Health Services, Family Health Resource, Financial Counseling, Admitting, Registration) to complete the necessary data processing procedures in the electronic databases and the necessary forms, paperwork to assure hospital, clinic compliance in addition to any federal, state, county, city, tribal or third party payer requirements.
Enters, corrects scheduling and registration data including, but not limited to: demographics, guarantor, community, blood quantum information, insurance, third party payer, provider, initial and, or final diagnosis, unit, department information, bed assignment, and any pertinent information into the electronic databases in a timely and accurate manner.
Attends meetings and training sessions as appropriate in order to perform these functions and maintain abreast of new and upcoming changes.
KNOWLEDGE and SKILLS
· Knowledge of customer service concepts and practice.
· Knowledge of multi-line telephone systems operations.
· Knowledge of privacy laws and regulations.
· Knowledge of basic medical terminology and clinic systems.
· Skill in typing a minimum of 30 wpm.
· Skill in operating a personal computer utilizing a variety of software applications.
· Skill in oral and written communication.
· Skill in operating office equipment such as copiers and fax machines.
· Skill in establishing and maintaining cooperative working relationships with other employees.
· Skill in insurance-related review, research, processing, and troubleshooting.
MINIMUM EDUCATION QUALIFICATION
A high school diploma or GED equivalent.
MINIMUM EXPERIENCE QUALIFICATION
Non-supervisory – Two (2) year of work experience in insurance processing. An equivalent combination of relevant education and/or training may be substituted for experience.
ADDITIONAL REQUIREMENTS
· May be required to work outside the traditional work schedule.
· May be called out to work off-shift in emergency situations.
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