The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 171,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health services, which include comprehensive medical services at the Alaska Native Medical Center, wellness programs, disease research and prevention, rural provider training and rural water and sanitation systems construction.
ANTHC is the largest, most comprehensive Tribal health organization in the United States, and Alaska's second-largest health employer with more than 3,100 employees offering an array of health services to people around the nation's largest state.
Our vision: Alaska Native people are the healthiest people in the world.
ANTHC offers a competitive and comprehensive Benefits Package for all Benefit Eligible Employees, which includes:
- Medical Insurance provided through the Federal Employee Health Benefits Program as a Tribal Employee, with over 20 plans and tiers.
- Cost-Share Dental and Vision Insurances
- Retirement Contributions with Pre-Tax or Roth options into a 403(b).
- 401(a) ANTHC Retirement Plan: After one year of employment, ANTHC will begin making matching contributions of up to 5% of your eligible pay, based on your own contributions. In addition, you may be eligible for an annual discretionary contribution of up to 3% from the employer.
- Paid Time Off starts immediately, earning up to 6 hours per pay period, with paid time off accruals increasing based on years of service.
- Paid Parental Leave or miscarriage/stillbirth eligibility after six months of employment
- Basic Short/Long Term Disability premiums, Accidental Death and Dismemberment (AD&D) Insurance, and Basic Life Insurance are covered 100% by ANTHC, with additional options for Short-Term Disability Buy-Up Coverage and Voluntary Life for yourself and your family members.
- Flexible Spending Accounts for Healthcare and Dependent Care.
- Ancillary Cash Benefits for accident, hospital indemnity, and critical illness.
- On-Site Child Care Facility with expert-designed classrooms for early child development and preschool.
- Employee Assistance Program with support for grief, financial counseling, mental/emotional health, and discounted legal advice.
- Tuition Discounts for you and your eligible dependents at Alaska Pacific University.
- On-Site Training Courses and Professional Development Opportunities.
- License and certification reimbursements and occupational insurance for medical staff.
- Gym Access to Alaska Pacific University includes a salt water pool, rock climbing, workout gym, and steep discounts for outdoor equipment rentals.
- Emergency Travel Assistance
- Education Assistance or Education leave eligibility
- Discount program for travel, gym memberships, amusement parks, and more.
Visit us online at www.anthc.org or contact Recruitment directly at HRRecruiting@anthc.org.
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 normal supervision, prepare and process eligible billing claims for travel services. Reviews and adjusts accounts to ensure accurate and thorough processing of these claims.
Responsibilities:
Ensures high quality, timely completion of work, accurate data entry, efficient processes and positive working relationships among the supervised employees to include internal and external patient/ clients.
Requires strong analytical and business skills to set up and manage all aspects of billing systems according to Medicare, Medicaid, and Private Insurance.
Processes and prepares business and government forms.
Manages all electronic claims entry and processes.
Investigates all denied claims and edits for re-submission.
Performs quality assurance testing on all EMR programs to ensure accurate processing and compilation of data for required payers.
Assures timely billing and collections, achieve and maintain a collection rate of less than 30% with A/R of 60 days or greater.
Researches billing and coding requirements for new services as directed by Financial Operations Manager.
Maintains strong working knowledge of coding and changes in coding and modifiers.
Consults with Providers to resolve or clarify codes and diagnoses with conflicting, missing or unclear information.
Creates and edits templates and codes in the EMR system as directed by Providers.
Monitors and orders CPT/ICD-10 coding books for clinic staff.
Maintains Electronic Data interchange (EDI) systems for services.
Reviews, prepares and submits claims to all 3rd party payers. Identifies appropriateness of billable charges. Determines Primary Payer when more than one is listed. Provides documentation and /or reports with claims when necessary.
Identifies every billable expense and increases revenue in the most efficient and timely manner by preparing and submitting insurance claims and reviewing and adjusting accounts to ensure accurate and timely payments.
Prepares monthly aging reports.
Maintains strong knowledge of referral and claim processing software, master files and interface conversion tables.
Performs other duties as assigned.
Other information:
KNOWLEDGE and SKILLS
• Knowledge of electronic medical record systems.
• Knowledge of ICD-10 and CPT coding.
• Knowledge of medical insurance process.
• Knowledge of alternative health resources.
• Knowledge of customer service concepts and practice.
• Knowledge of basic medical terminology and clinic systems.
• Knowledge of the Privacy Act of 1974 and HIPAA Privacy Rule Act of 1966.
• Knowledge of state, federal, and tribal health care programs.
• Knowledge of state, federal and public/private insurance, including Medicaid/Medicare.
• Skill in working independently.
• Skill in grammar, spelling, sentence structure and effective business letter writing.
• Skill in operating office equipment, including copiers and fax machines.
• Skill in interpreting state, federal, and public/private insurance financing.
• Skill in establishing and maintaining cooperative working relationships with others.
• Skill in operating a personal computer utilizing a variety of software applications.
MINIMUM EDUCATION QUALIFICATION
A high school diploma or GED equivalent.
MINIMUM EXPERIENCE QUALIFICATION
Non-supervisory - Three (3) years of accounting, billing, insurance, medical claims care office or related experience. An equivalent combination of relevant education and/or training may be substituted for experience.
