Insurance and Billing Specialist I

Position Overview

The Insurance and Billing Specialist I & II plays a vital role in supporting KANA’s revenue cycle by ensuring accurate insurance verification, authorization, billing support, and patient account management. This position works closely with patients, providers, registration staff, insurance companies, and billing partners to facilitate timely reimbursement and help patients understand and navigate their financial responsibilities.

Key Responsibilities

• Verify insurance eligibility and benefits prior to patient appointments
• Obtain and track prior authorizations and pre-certifications as required
• Review clinic schedules to ensure accurate insurance information and billing readiness
• Cook with registration staff regarding patient balances, payment collection, and account updates
• Aid patients with payment options, payment plans, and financial inquiries
• Maintain accurate documentation and manage assigned electronic health record work queues
• Support timely claim submission by ensuring accurate information and complete documentation
• Collaborate with providers, staff, insurance companies, and billing partners to resolve billing issues
• Deliver exceptional customer service to patients and internal stakeholders

Additional Responsibilities - Insurance and Billing Specialist II

• Manage aged accounts and assist with claim denial resolution
• Research reimbursement discrepancies and coordinate corrective actions
• Provide guidance to providers and staff regarding coverage requirements and patient financial responsibility
• Serve as a resource and trainer for Insurance and Billing Specialist I staff
• Act as the primary contact for VA-related billing communications and requests

Qualifications

• A high school diploma or GED is required
• Minimum six months of experience in medical billing, healthcare revenue cycle operations, insurance processing, or a related healthcare setting; equivalent experience considered
• A medical billing and/or coding certification is preferred
• An associate degree or equivalent combination of education and experience is preferred
• Knowledge of insurance verification, prior authorizations, medical billing, and third-party reimbursement processes is preferred
• Strong customer service, communication, organizational, and problem-solving skills are required
• Proficiency with Microsoft Office and healthcare information systems is required
• The ability to maintain confidentiality and handle sensitive information appropriately is required
• The ability to travel to remote communities by small aircraft when needed is required

Benefits & Perks

• 401(k) retirement plan with a 7% employer contribution beginning in year two, paid regardless of employee contribution
• Paid Parental Leave
• 80% employer-paid medical, dental, and vision coverage
• Access to 20+ medical plan options through federal OPM benefits
• Employer-paid life insurance at 2.5x annual salary
• AD&D, short-term, and long-term disability coverage
• Generous paid time off and 13 paid holidays
• Free gym membership to the KANA Wellness Center
• Employee Assistance Program (EAP)
• Tuition assistance and reimbursement programs
• Ledership development and internal advancement opportunities
• Eligibility for IHS and NHSC loan repayment programs (role dependent)
• Potential temporary housing assistance for relocating employees, based on availability

Work Schedule

KANA’s standard work schedule is 37.5 working hours per week, consisting of 7.5 paid working hours per day plus a one-hour unpaid lunch break (8.5 hours on site per day).

Our Values

KANA’s work is guided by Courtesy, Caring, Respect, Sharing, and Pride. We seek leaders who embody these values in how they lead teams, steward resources, and serve the community.

Life in Kodiak

Located on beautiful Kodiak Island, this role offers the opportunity to build meaningful community connections while experiencing Alaska’s unique coastal lifestyle, outdoor recreation, and close-knit community.