Patient Benefits Coordinator

Purchased and Referred Care Kodiak, AK, US Category:

Purchased and Referred Care Employee Type:

full-time | non-exempt Salary range: $22.21 to $35.62 Hour All KANA positions are based in Kodiak and are not eligible for remote work. Applicants must reside in Kodiak or be willing to relocate. KANA's standard work schedule is 37.5 working hours per week, typically consisting of 7.5 paid working hours per day plus a one-hour unpaid lunch break (total of 8.5 hours on site per day). 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 Responsibilities The 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 organization's mission and goals, quality standards, and patient-centered medical home philosophy. Embraces KANA's culture of serving the whole person through our provision of services. Incorporates KANA's core values of Courtesy, Caring, Respect, Sharing, and Pride in all activities and decisions. Upholds KANA's 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, 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. 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.

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.