Health Benefits Specialist I

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

• Discounted Pet Insurance

• Retirement Contributions with Pre-Tax or Roth options into a 403(b).

• Retirement Match and Discretionary. ANTHC matches up to 5%, with a 3% discretionary contribution after one year of employment into a 401(a).

• Paid Time Off starts immediately, earning up to 6 hours per pay period, with paid time off accruals increasing based on years of service.

• Twelve Paid Holidays

• 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.

Summary: Under close supervision, interview/screen referred patients to determine eligibility for alternate health resources. Assist the patient with successful completion of applying for eligible programs such as Medicaid, Medicare, VA Health Benefits, or Federally Facilitated Marketplace enrollment.

Responsibilities: Assist patient and families in application process by conducting interviews, over the phone or in person, to determine eligibility for alternate health resources (Medicaid, Medicare, Private insurance, Veterans Administration, Tribally Sponsored Health Insurance Program etc.) Customer service experience; must be able to communicate effectively with patients and families to provide updates on application information and required documents needed for program eligibility. Work collaboratively with other members of the team/department, as well as outside agencies, to ensure a standard of customer services and professionalism. Must be able to work with and be a productive member of a team. Ensures accuracy of electronic health records and other database systems to assure accurate processing of information for tracking and reporting. Maintain patient records and confidentiality. Perform other duties as assigned or required.

Knowledge and Skills

• Knowledge of Alaska Tribal Health System, ANTHC, and Alaska Native culture(s) and politics.
• Knowledge of health payer resources (Medicaid, Medicare, Private Insurance, Commercial Insurance, Veterans Administration) and the appropriate application process.
• Skill in oral and written communication.
• Skill in managing multiple priorities and tasks concurrently and meeting deadlines.
• Skill in establishing and maintaining cooperative working relationships with others.
• Skill in operating a personal computer utilizing a variety of applications.
• Skill in problem solving and working independently.
• Skill in working in multiple settings or department as assigned. Ability to work with patients who may be terminally ill, homeless, or require special assistance.

Minimum Experience Qualification - All Levels

Health Benefits Specialist I

Non-supervisory – One (1) year of experience, within the last 12 months, working in an office setting with health insurance experience to include Medicaid, Medicare or the Health Insurance Marketplace, performing data entry, quality customer service, in-person and on-phone customer interactions, email correspondence with members of the team and other members of the organization as well as outside agencies. Must be capable of mastering outpatient screenings for referred patients.

Health Benefits Specialist II

Non-supervisory – Must have 2 years’ experience, working in an office setting with health insurance experience to include Medicaid, Medicare or the Health Insurance Marketplace, performing data entry, quality customer service, in-person and on-phone customer interactions, and email correspondence with members of the team and other members of the organization as well as outside agencies. Must have successfully mastered two (2) of the following areas of HBS duties and have a combined total of 2 years’ experience in those areas.

• Inpatient screening
• Outpatient screening
• Purchased referred care screening and enrollment

Health Benefits Specialist III

Non-supervisory – Must have 3 years’ experience, working in an office setting with health insurance experience to include Medicaid, Medicare or the Health Insurance Marketplace, performing data entry, quality customer service, in-person and on-phone customer interactions, email correspondence with members of the team and other members of the organization as well as outside agencies, and knowledge of community resources. Must have successfully mastered three (3) areas of HBS duties and have a combined total of 3 years’ experience in those areas.

• Inpatient screening
• Outpatient screening
• Purchased referred care screening and enrollment