Patient Benefits Coordinator

Essential Duties and Responsibilities

• Screens all patients for potential alternate resources including Medicare, Medicaid, VA benefits, Denali Kid Care, T-SHIP, Worker’s Compensation, and Fisherman’s 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.
• Buils 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.
• Able to travel to the villages for the purpose of giving demonstrations and personally assist patients in applying for alternate resources and additional patient benefits.

Supervisory Responsibilities

This job has no supervisory responsibilities.

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.
• Associate’s 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.