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Alternate Resources Specialist

Kodiak Area Native Association
Kodiak

Job Description

Screens all patients for third party eligibility; providing assistance and follow up in completing applications, ensuring referrals are processed appropriately, and educating individuals on the importance of alternate resources.

Alternate Resources Specialist

Full-time / eligible for full fringe benefits

Located in Kodiak, Alaska

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.

Screen all patients for eligibility for alternate resources, ensuring information has been scanned and data entry is complete and accurate.

Assist patients with completion of applications and collection of pertinent documents, providing follow up until the application process is complete and an eligibility determination has been made.

Serve as a resource for patients throughout the application process and provide direction when necessary. Contact patients before state deadlines to assist in the re-application process as needed.

Conduct interviews with patients in a variety of settings including KANA clinics, local hospital, or village clinics to screen for potential eligibility of third party insurance coverage.

Develop working relationships with various agencies to ensure accurate and timely information is shared to allow for assistance in eligibility.

Closely monitor all patient referrals to outside services for accuracy. Maintain good communication with Case Managers and Providers to assure efficient handling of referrals. Perform data entry of referrals and provide purchase orders along with written referrals to the receiving facility or medical office.

Perform data entry of Alternate Resource eligibility status and update demographic information in Electronic Health Record registration.

Maintain an organized tracking system of all patient assistance contacts.

Travel to villages to give presentations and offer assistance in applying for alternate resources.

Develop working relationships with various programs and departments to build and sustain a patient-focused culture.

Personally respond to eligibility and third party questions. Be able to explain KANA privacy practices, Contract Health process, alternate resource requirements, and medical services offered.

Minimum Qualifications

High school diploma or equivalent and three years experience working with the public in an office setting; or equivalent combination of education and experience. One year experience with Medicaid, Medicare and commercial insurances directly. Knowledge of medical billing procedures and medical terminology. Knowledge of HIPAA, and other state and federal regulations governing healthcare practices.

Intermediate knowledge of Database and Spreadsheet software; Advanced knowledge with using the Internet. Ability to assist patients with online applications for Alternate Resources.

Ability to travel to the villages for the purpose of giving demonstrations and personally assist patients in applying for alternate resources.

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Employment Type

Full time

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