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.

 

Visit us online at www.anthc.org or contact Recruitment directly at HRRecruiting@anthc.org.

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 general supervision, perform tasks on behalf of Alaska Native Tribal Health Consortium Specialty Clinics Outpatient Departments and various insurance carriers for the purpose of obtaining insurance prior authorization for medical procedures being performed at Alaska Native Medical Center.

 

Responsibilities:

Preform reviews of pending medical procedures identified in the Electronic Health Care Record Scheduling Application and identify those procedures that will require pre-authorization.  Working closely with the Clinical Referral Specialists to determine medical necessity and assisting in communicating with the various insurance carriers to obtain pre-authorization clearance.  Document appropriate information concerning status of pre-authorization in all necessary systems.

As necessary, enter all billing information into the electronic billing system.  Report tracking and performance information to the supervisor as requested.  Be available to support training department staff and providers as subject matter experts concerning pre-authorization.

Support all clinical improvement activities, regulatory compliance, policy/procedure adherence and organizational strategic initiatives.

Performs other duties as assigned.

 

 

Other information:

KNOWLEDGE and SKILLS 

• Knowledge of health care operations and insurance pre-authorization
• Knowledge of general medical terminology, general anatomy, general physiology and general concepts of disease
• Knowledge of CPT and ICD-10 codes
• Knowledge of various insurance carriers regulations to determine medical necessity
• Knowledge of Centers for Medicare and Medicaid regulations      
• Skill in customer service with strong communication skills using the telephone and electronic media
• Skill in operation of a personal computer utilizing various software including electronic health records and on-line application processes

 

 

MINIMUM EDUCATION QUALIFICATION

A high school diploma or GED and 1 year of medical office experience or insurance verification.  An equivalent combination of relevant training or education may be substituted.

 

Depending on work experience and training, the hourly pay ranges are:  $19.40 - $23.00