PRC Benefits Coordinator

$45,448 - $68,182/Yr

Ketchikan Indian Community - Ketchikan, AK

Full-time - Entry Level

Ketchikan, AK

5,001-10,000 employees

Ambulatory Health Care Services

About the position

The PRC Benefits Coordinator at Ketchikan Indian Community is responsible for collecting and managing private insurance coverage information to optimize the clinic's use of alternate resources. This role involves establishing procedures for identifying various insurance options, preparing reports, and serving as a liaison between the clinic, patients, and other healthcare providers.

Responsibilities

• Establish procedures to identify alternate resources such as Medicare, Medicaid, Private Insurance, Veterans' administration, Tribal Sponsored Health Plans (TSHIP), etc. enrollment.
• Prepares necessary reports providing statistical analysis and assist in monthly TSHIP and governance reporting requirements.
• Collects appropriate data, insurance information on all patients from various sources.
• Interviews patients (and/or family), other providers, and insurance companies.
• Sends insurance questionnaires, reviews administrative files, and screens for third party coverage.
• Interviews and enrolls veterans for the Veterans Administration Department benefits.
• Assists those who may be eligible for Medicaid/Medicare by arranging patient contact with correct agency.
• Serves as liaison between KIC Clinic, patients, and other health care providers in the collection of alternate resource information.
• Develops and maintains cooperative relationships between Indian Health Service, Tribally-managed facilities and other agencies to assist in the exchange of information.
• Cross-trains co-workers in the department to the related functions of this position in order to provide back-up coverage in his/her absence.
• Receives cross training in other department positions, related duties, providing backup as necessary.
• Other duties as assigned.

Requirements

• Highschool Diploma or Equivalent.
• One (1) year medical field knowledge or progressive responsible clerical, office or other work that indicates ability to acquire the particular knowledge and skills needed to perform duties of this position.
• A combination of relevant experience, education, and training may substitute for education and experience requirements on a year-for-year basis.
• Proof of valid driver's license with acceptable driving record (when DL is required for the job).

Nice-to-haves

• Additional training courses in clerical field.
• Experience in community clinic preferred and a strong commitment to multi-disciplinary teamwork.

Benefits

• Health Insurance
• Dental Insurance
• Vision Insurance
• 401K