PATIENT HEALTH BENEFIT SPECIALIST I

Pay Range:$25.00 - $31.13

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.

Key Essential Functions And Accountabilities Of The Job

• Meets with patients and/or families to determine and resolve third party payors available.
• For patients who are not insured, screens, and evaluates whether the patient may qualify for any known payer sources, including Medicaid, Medicare, Denali Kid Care, VA, Federal Insurance Marketplace, Sliding Discount.
• As alternate payors are identified, aids the patient for the enrollment process.
• Documents necessary information in an accurate and timely manner.
• Enters data into MapsIQ health benefit tracking software and other systems. Monitors and maintains statuses from initiation to resolution. Tracks additional data elements as necessary.
• Establishes payment plans and collects 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.
• Coordinates with local and regional organizations and Tribal Nations to build awareness of coverage options.
• Reviews, verifies, and confirms current third-party payer information in EHR.
• Provides administrative assistance to Health Benefits department including mail outs, data clean up, and other assigned duties.
  

Other Functions

• Completes and attends all required training programs and participates in conference calls, webinars or other professional or team development activities.
• Other duties as assigned.
  
  

Additional Details

Education, Certifications, and Licenses Required

• High school diploma or equivalent – required.
• CMS Certified Application Counselor (CAC) or ability to obtain this certification within 45 days of hire.
  
  

Experience Required

• 2 years of administrative or customer service experience – required.
• 1 year of experience performing related revenue cycle duties – preferred.
  
  

Knowledge of

• Administrative and clerical knowledge including word processing, managing files and records, office procedures, and computer software.
  
  

Skills In

• Excellent customer service skills working with patients in difficult and complex situations.
• Read and comprehend instructions, correspondence, and memos.
• Effectively communicate information verbally and through written communication.
• Excellent interpersonal skills.
  
  

Ability to

• Performs job with minimal supervision and demonstrates problem-solving skills.
• Actively look for ways to help people.
• Interact on a professional level with individuals from diverse backgrounds.
• Time-management and organizational ability.
  
  

Position Information

Work Shift:OT 8/40

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

Salary : $25 - $31