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Patient Benefits Coordinator

Kodiak Area Native Association

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At a glance

Compensation
No compensation found
Location
Kodiak, AK
Work Authorization
Not specified

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Job overview

The Patient Benefits Coordinator screens patients for alternate payer eligibility and helps them complete applications, submit supporting documents, and follow up through eligibility decisions. The role verifies insurance coverage, supports enrollment and insurance-related problem solving, and connects patients with organizational and community assistance resources. It also maintains application tracking, collaborates with departments and agencies, participates in quality improvement, and travels to villages to assist patients.

Skills & qualifications

RequiredNice to have

Skills

Patient Eligibility ScreeningInsurance EnrollmentInsurance Problem SolvingCernerMedical Billing ProceduresMedical TerminologyHIPAAHealthcare RegulationsFederal and State Resources

Qualifications

High School Diploma or GEDThree Years Public-Facing Office ExperienceEquivalent Education and ExperienceAssociate's Degree in Related FieldOne Year Insurance Experience

Full job description

The Patient Benefits Coordinator routinely screens all patients for alternate resource (payer) eligibility. Assists patients with completion of applications, submission of supporting documents and provides appropriate follow-up. Serves as a resource to help patients access a variety of other assistance programs and safety net programs. The position supports continuity of care by assisting with insurance enrollment and compliance with organizational and regulatory requirements. Essential Duties and ResponsibilitiesThe following duties are not intended to serve as a comprehensive list of all duties performed by this position. Other duties may be assigned. - Supports the organizations mission and goals, quality standards, and patient-centered medical home philosophy. Embraces KANAs culture of serving the whole person through our provision of services. Incorporates KANAs core values ofCourtesy, Caring, Respect, Sharing, and Pridein all activities and decisions. - Upholds KANAs Code of Ethics by conducting professional activities with honesty, integrity, respect, fairness, and good faith in a manner that reflects positively upon the organization. - Screens all patients for potential alternate resources including Medicare, Medicaid, VA benefits, Denali Kid Care, T-SHIP, Workers Compensation, and Fishermans Fund. Verifies and updates demographic and insurance information in Cerner as appropriate. - Assists patients with applications, gathers required documentation and follows through until eligibility determinations are finalized and documented. - Maintains an organized tracking system of patient screening, application status and follow-up. - Verifies active insurance coverage, screens for potential third-party eligibility, and assists with enrollment when appropriate. - Assists patients by providing insurance-related problem solving, excluding medical authorizations and service pricing, and works to ensure patients obtain and maintain coverage. - Connects patients, to KANA and community resources such as housing and public assistance. - Builds collaborative relationships with internal departments and external agencies to promote accurate information sharing and patient-focused service delivery, - Participates in committees and quality improvement efforts. - Ability to travel to the villages for the purpose of giving demonstrations and personally assist patients in applying for alternate resources and additional patient benefits #### Requirements High school diploma or general education degree (GED) and three years experience working with the public in an office setting; or equivalent combination of education and experience. Associates Degree in related field preferred. One-year experience with Medicaid, Medicare and commercial insurances directly. Familiarity with federal, state and local resources available to meet the health and social needs of patients preferred. Knowledge of medical billing procedures, medical terminology, HIPAA, and other state and federal regulations governing healthcare practices. EEO Employer

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