Benefits Coordinator

2 weeks ago

Ketchikan, Alaska, United States Ketchikan Indian Community Full time
Job Title: PRC Benefits Coordinator

This position is responsible for collecting private insurance coverage information to maximize the clinic's use of alternate resources.

Job Summary

The incumbent will establish procedures to identify alternate resources such as Medicare, Medicaid, Private Insurance, Veterans' administration, Tribal Sponsored Health Plans (TSHIP), etc. enrollment. They will also prepare necessary reports providing statistical analysis and assist in monthly TSHIP and governance reporting requirements.

Key Responsibilities
  • Establish procedures to identify alternate resources such as Medicare, Medicaid, Private Insurance, Veterans' administration, Tribal Sponsored Health Plans (TSHIP), etc. enrollment.
  • Prepare necessary reports providing statistical analysis and assist in monthly TSHIP and governance reporting requirements.
  • Collect appropriate data, insurance information on all patients from various sources.
  • Interview patients (and/or family), other providers, and insurance companies.
  • Send insurance questionnaires, reviews administrative files, and screens for third-party coverage.
  • Interview and enroll veterans for the Veterans Administration Department benefits.
  • Assist those who may be eligible for Medicaid/Medicare by arranging patient contact with the correct agency.
  • Serve as a liaison between KIC Clinic, patients, and other healthcare providers in the collection of alternate resource information.
  • Develop and maintain cooperative relationships between Indian Health Service, Tribally-managed facilities, and other agencies to assist in the exchange of information.
  • Cross-train coworkers in the department to related functions of this position in order to provide backup coverage in their absence.
  • Receive cross-training in other department positions, related duties, providing backup as necessary.
Requirements
  • High school diploma or equivalent.
  • One (1) year medical field knowledge or progressive responsible clerical, office, or other work that indicates ability to acquire the particular knowledge and skills needed to perform duties of this position.
  • A combination of relevant experience, education, and training may substitute for education and experience requirements on a year-for-year basis.
  • Proof of valid driver's license with an acceptable driving record (when DL is required for the job).
Preferred Qualifications
  • Additional training courses in the clerical field.
  • Experience in a community clinic preferred and a strong commitment to multi-disciplinary teamwork.
Necessary Knowledge, Skills, and Abilities
  • Strong understanding and sensitivity to American Indian/Alaska Native (AI/AN) Tribal culture and lifestyle, working effectively with AI/AN populations.
  • Effective oral and written communication skills with sensitivity to the lifestyles of targeted participants.
  • Skills in operating personal computers using a variety of computer software.
  • Ability to establish and maintain cooperative working relationships with management, coworkers, and outside contacts.
  • Ability to maintain strict confidentiality and comply with all applicable federal and tribal privacy laws and KIC policy (HIPAA, HITECH, etc.).
  • Ability to learn and apply program/agency operating policies and procedures.
  • Ability to manage multiple priorities and tasks concurrently and meet deadlines.
  • Ability to work independently as well as with teams.
KIC Competencies
  • Cultural Competency: To be respectful and responsive to the health beliefs, practices, and cultural and linguistic needs of KIC Tribal Members.
  • Commitment: To serve Tribal Members and set a high standard for yourself in your performance; strive for results and success; convey a sense of urgency and bring issues to closure; and stay persistent despite obstacles and opposition.
  • Customer Service: Meet/exceed the expectations and requirements of internal and external customers; identify, understand, and monitor the needs of both internal and external customers; always talk and act with customers in mind; and recognize working colleagues as customers.
  • Effective Communication: Ensure important information is passed to those who need to know; convey necessary information with respect, clearly and effectively orally or in writing.
  • Responsiveness and Accountability: Demonstrate a high level of conscientiousness; hold oneself personally responsible for one's own work; and do the required fair share of work.

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