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.

Benefits include:

• Generous Paid Time Off and holiday schedule with 4 weeks paid vacation per year to start and 12 paid holidays.

• More than 19 Federal healthcare plans with plans for employee, employee plus one, and employee plus family available. ANTHC covers 80% of all health insurance premiums and 100% of Short-Term Disability, Long-Term Disability, Dental, Vision, Basic Life, and AD&D.

• 401(a) retirement plan; ANTHC will contribute 3% of your annual compensation to the plan account each year, with up to an additional 5% match with a 6-year vesting schedule.

• 403(b) retirement savings plan with pre-tax and Roth options. Flexible Spending Accounts for Health Care and Dependent care are also available.

• Onsite Child Care is available in a brand new education facility.

• Onsite free gym access. Additional gym, rock climbing wall and salt-water pool available at the Alaska Pacific University for a small fee per semester. Steep discounts on outdoor equipment rentals for your Alaskan adventures!

• Tuition reductions for employees and their eligible dependents at the Alaska Pacific University.

Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act.

Summary:

Under normal supervision, prepare and process eligible billing claims for travel services. Reviews and adjusts accounts to ensure accurate and thorough processing of these claims.

Responsibilities:

Ensures high quality, timely completion of work, accurate data entry, efficient processes and positive working relationships among the supervised employees to include internal and external patient/ clients.

Requires strong analytical and business skills to set up and manage all aspects of billing systems according to Medicare, Medicaid, and Private Insurance.

Processes and prepares business and government forms.

Manages all electronic claims entry and processes.

Investigates all denied claims and edits for re-submission.

Performs quality assurance testing on all EMR programs to ensure accurate processing and compilation of data for required payers.

Assures timely billing and collections, achieve and maintain a collection rate of less than 30% with A/R of 60 days or greater.

Researches billing and coding requirements for new services as directed by Financial Operations Manager.

Maintains strong working knowledge of coding and changes in coding and modifiers.

Consults with Providers to resolve or clarify codes and diagnoses with conflicting, missing or unclear information.

Creates and edits templates and codes in the EMR system as directed by Providers.

Monitors and orders CPT/ICD-10 coding books for clinic staff.

Maintains Electronic Data interchange (EDI) systems for services.

Reviews, prepares and submits claims to all 3rd party payers. Identifies appropriateness of billable charges. Determines Primary Payer when more than one is listed. Provides documentation and /or reports with claims when necessary.

Identifies every billable expense and increases revenue in the most efficient and timely manner by preparing and submitting insurance claims and reviewing and adjusting accounts to ensure accurate and timely payments.

Prepares monthly aging reports.

Maintains strong knowledge of referral and claim processing software, master files and interface conversion tables.