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SouthEast Alaska Regional Health Consortium (SEARHC) · 16 hours ago

Patient Health Benefits Specialist

Juneau, AK

Full-time

Hybrid

Mid Level

$25/hr - $33.71/hr

3+ years exp

SouthEast Alaska Regional Health Consortium (SEARHC) is a non-profit health consortium serving the health interests of the residents of Southeast Alaska. They are seeking a Patient Health Benefits Specialist responsible for providing health benefits enrollment assistance to patients and ensuring they are connected with appropriate third-party payers. This role involves data management, customer service, and collaboration with community organizations to enhance patient coverage awareness.

Health CareNon Profit

Responsibilities

Knows, understands, incorporates, and demonstrates the Mission, Core Values, and Vision in behaviors, practices, policies, and decisions

Maintains collaborative, team relationships with peers and colleagues to contribute to the working group’s achievement of goals effectively, and to help foster a positive work environment

Protects confidentiality/privacy in verbal, written, and electronic forms of communication or information sharing

Raises concerns in an appropriate manner and according to policy

Consistently exhibits behavior and communication skills that demonstrate SEARHC’s commitment to superior customer service, including quality, care, and concern with each and every internal and external customer

Provides exceptional customer service in assisting patients enrolling in third party payers including Medicaid, Medicare, Denali Kid Care, VA, Federal Insurance Marketplace, and Sliding Discount. Obtains and documents necessary information accurately and timely

Enter data into MapsIQ health benefit tracking software and other systems. Monitors and maintains statuses from initiation to resolution. Tracks additional data elements as necessary

Distributes health benefits material to patients, community members, partner organizations and businesses to build coverage option awareness

Coordinate with local and regional organizations and Tribal Nations to build awareness of coverage options

Completes and attends all required training programs and participates in conference calls, webinars or other professional or team development activities

Reviews, verifies, and confirms current third-party payer information in EHR

Provides administration assistant type work to Health Benefits department including mail outs, data clean up, and other assigned duties

Coordinates and leads small scale projects

Facilitate educational events and presentations

Proficient in public speaking

Makes meaningful improvement to services, program, processes, and organizational effectiveness that creates new value for patients and employees

Acts as a resource, mentor, and trainer for entry-level Health Benefits Specialist I personnel and Patient Access Representatives, as appropriate

Orients new Health Benefits Specialist I staff to the department and SEARHC systems and processes

Responds to questions on standard procedure and best practices from team members

Communicates effectively with patients, physicians, and/or other departments regarding delays or issues relating to health insurance programs

Work closely with the Financial Counselors and Patient Access team to ensure coverage is current and documented appropriately in the record

Responds to inquiries regarding status of health coverage by assessing the request and evaluating the circumstances to provide the needed information

Demonstrates superior customer service to all external and internal customers

Communicates effectively with patients, physicians, and/or other departments regarding delays or issues relating to authorizations, PRC Travel and patient appointments

Meets team metric standards and expectations consistently

Maintains strict confidentiality at all times

Identifies compliance/ethics issues and brings forth recommendations for operational improvement

Ensures successful adherence to policies, procedures and changes to the organization

Complete and support additional patient access related activities as assigned

Makes recommendation for FAP/HRSA approval

Other duties as assigned

Qualification

Certified Application CounselorMedicare Counselor CertificationBenefits enrollment experienceMedical TerminologyData entry skillsCustomer service principlesEffective communicationProblem-solving skillsInterpersonal skillsOrganizational skillsTeamwork

Required

High School Diploma or equivalent – required

Bachelor's degree or 3+ years benefits enrollment experience or equivalent combination of education and experience or demonstrated proficiency

Certified Application Counselor (CAC) with CMS or obtain within 45 days of hire

Medicare Counselor Certification or obtain within 6 months

Completion of Department of Veterans Affairs-Tribal Veteran Representative training or obtain within 1 year of hire

3 years of prior experience performing administrative and customer service duties with a preferred one-year of experience performing revenue cycle duties which can include scheduling, registration, health information management, coding, billing, and/or collections experience; or demonstrated proficiency screening patients for insurance and alternate resources

Understanding and/or willing to learn tribal health programs and alternate resources

Knowledge and demonstrated use of customer service principles

Knowledge of data entry, retrieval, and reporting

Medical Terminology

General office functions, office equipment, and computer applications

Detail oriented with above average organizational skills

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

Demonstrate time-management and organizational ability

Effective oral and written communication skills

Skills in using a database

Performs job with minimal supervision and demonstrates problem-solving skills

Skills in operating a computer utilizing a variety of software applications

Working independently and as a team

Good interpersonal, verbal, and written communication

Strong attention to detail

Actively look for ways to help people

Comfortable with ambiguity, exhibit good decision making and attention to detail

Develop and maintain effective relationships through clear, encouraging, and timely communication

Excellent interpersonal skills and have the ability to interact on a professional level with individuals from diverse backgrounds

Ability to multi-task and work independently in a fast paced environment

Ability to respond quickly in urgent situations with attention to detail

Ability to problem solve and use conflict resolution skills

Prioritize work in multi-task in a fast-paced office setting with many interruptions

Self-start and willingness to learn

Read and comprehend simple instructions, short correspondence, and memos

Demonstrate time-management, organizational, and customer service skills

Ability to plan, coordinate and arrange travel, meeting spaces, patient appointments, provider and partner trainings while traveling in other communities

Handle difficult customer situations in a positive manner

Interact with external healthcare professionals in a variety of settings

Effectively prioritize multiple ongoing tasks and responsibilities under pressure at a steady pace in an unpredictable environment

Maintain a professional demeanor with physician and clinical team when addressing concerns regarding imaging orders/diagnoses

Proficient in Microsoft Office Products including Word, Excel

Database applications

Travel to assigned communities at least 2 times per year

Less than 25% travel expected

Travel is by jet, small aircraft, or boat