Job Description
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.
Visit us online at or contact Recruitment directly at
Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. +3-638 Indian Self Determination Act.
Summary
Provide oversight and management of denial managements for Patient Financial Services. The manager will work in collaboration with Billing and Collections team and oversee staff to help with revenue recovery and denials mitigation for Revenue Cycle Division.
Responsibilities
• Primarily responsible for review, follow up and denial management activities related to the collection of denied hospital and clinic claims. Researches and resolves account issues including identifying root cause of denials, thorough review of patient care and other insurance contracts, identifying information needed to appeal and correctly process claims; generally working through issues to collect payment as expediently as possible.
• Maintain a professional attitude and approach with payers and clients.
• Performs all appeals and denial recovery procedures needed to appropriately and accurately resolve technically denied claims.
• Evaluates, identifies, and coordinates with Clinical staff.
• Prepare and submit correspondence such as online inquiries, appeals, and letters for payment processing.
• Processes and resolves rejections and denials received from payers.
• Follow up on claims in a timely fashion as outlined in departmental policies and procedures.
• Utilize online payer portals.
• Document information in appropriate internal and client systems.
• Maintain regular contact with necessary parties regarding claims status.
• Comply with federal and state laws, company and department policies and procedures.
• Provides consultation and assistance to department Directors and Managers on improving reimbursement.
• Collaborates with the team to identify areas of reimbursement improvement opportunity in support of the strategic goals of the department.
• Serves as a liaison between revenue cycle and clinical departments regarding revenue medical necessity payer requirements.
• Performs department assessments to identify improvement opportunities related to issues associated with coding/billing issues and CPT/HCPCS code applications.
• Develops and provides medical necessity related education to clinicians to facilitate the timely and accurate capture of reimbursement.
• Review and resolve denied patient insurance claims. Review all paperwork the insurance company sends about a claim denial.
• Performs other duties as assigned.
Other Information
KNOWLEDGE and SKILLS
• Skill in oral and written communication.
• Skill in operating a personal computer utilizing a variety of software applications.
• Skill in project management, assessing, and prioritizing multiple tasks, projects and demands.
MINIMUM EDUCATION QUALIFICATION
Bachelor’s degrees in business, finance, accounting, engineering, public administration or facility management. Progressively responsible professional work-related experience, education, or training may be substituted on a year-for-year basis for college education.
Minimum Experience Qualification
Non-supervisory – Five (5) years of administrative work experience in a patient accounting or business office of an acute care or long-term care hospital or healthcare clinic of which two (2) years must be in medical billing or accounts receivable management.
AND
Supervisory – Two (2) years of supervision.
Additional Requirements
May be required to work outside the traditional work schedule.
May be called out to work off-shift in emergency situations.
According to the needs of the organization, some incumbents in this job class may be required to obtain specific technical certifications and programming language skills.
#J-18808-Ljbffr
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.
Visit us online at or contact Recruitment directly at
Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. +3-638 Indian Self Determination Act.
Summary
Provide oversight and management of denial managements for Patient Financial Services. The manager will work in collaboration with Billing and Collections team and oversee staff to help with revenue recovery and denials mitigation for Revenue Cycle Division.
Responsibilities
• Primarily responsible for review, follow up and denial management activities related to the collection of denied hospital and clinic claims. Researches and resolves account issues including identifying root cause of denials, thorough review of patient care and other insurance contracts, identifying information needed to appeal and correctly process claims; generally working through issues to collect payment as expediently as possible.
• Maintain a professional attitude and approach with payers and clients.
• Performs all appeals and denial recovery procedures needed to appropriately and accurately resolve technically denied claims.
• Evaluates, identifies, and coordinates with Clinical staff.
• Prepare and submit correspondence such as online inquiries, appeals, and letters for payment processing.
• Processes and resolves rejections and denials received from payers.
• Follow up on claims in a timely fashion as outlined in departmental policies and procedures.
• Utilize online payer portals.
• Document information in appropriate internal and client systems.
• Maintain regular contact with necessary parties regarding claims status.
• Comply with federal and state laws, company and department policies and procedures.
• Provides consultation and assistance to department Directors and Managers on improving reimbursement.
• Collaborates with the team to identify areas of reimbursement improvement opportunity in support of the strategic goals of the department.
• Serves as a liaison between revenue cycle and clinical departments regarding revenue medical necessity payer requirements.
• Performs department assessments to identify improvement opportunities related to issues associated with coding/billing issues and CPT/HCPCS code applications.
• Develops and provides medical necessity related education to clinicians to facilitate the timely and accurate capture of reimbursement.
• Review and resolve denied patient insurance claims. Review all paperwork the insurance company sends about a claim denial.
• Performs other duties as assigned.
Other Information
KNOWLEDGE and SKILLS
• Skill in oral and written communication.
• Skill in operating a personal computer utilizing a variety of software applications.
• Skill in project management, assessing, and prioritizing multiple tasks, projects and demands.
MINIMUM EDUCATION QUALIFICATION
Bachelor’s degrees in business, finance, accounting, engineering, public administration or facility management. Progressively responsible professional work-related experience, education, or training may be substituted on a year-for-year basis for college education.
Minimum Experience Qualification
Non-supervisory – Five (5) years of administrative work experience in a patient accounting or business office of an acute care or long-term care hospital or healthcare clinic of which two (2) years must be in medical billing or accounts receivable management.
AND
Supervisory – Two (2) years of supervision.
Additional Requirements
May be required to work outside the traditional work schedule.
May be called out to work off-shift in emergency situations.
According to the needs of the organization, some incumbents in this job class may be required to obtain specific technical certifications and programming language skills.
#J-18808-Ljbffr
💡 Quick Summary
Seeking a career-building opportunity? The Manager | department | work | Now Hiring position is now open for candidates interested in the Health Jobs sector. This role in Anchorage offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Health Jobs is a plus.
