Credits Analyst I - Credit/Self-Pay/TPL - Patient Financial Services - Remote/On Site Work Schedule

Salary: 18.20-21.75 :USD

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 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, the Credits Analyst is responsible for the timely research and resolution of all outstanding credit balances, processing of refunds to efficiently resolve patients’ and insurance companies’ credits and refund requests, and for reviewing and resolving complex credits.

Responsibilities:
All
Reviews and resolves accounts in credit balance status.
Follows up on open credit balances accurately and promptly. Manages work queues related to overpayments and credit balances.
Identifies trends, communicates findings and escalates as appropriate.
Evaluates the expected reimbursement per the existing contracts and follows appropriate guidelines to report and escalate discrepancies.
Establishes a system to ensure refund requests from insurance companies are processed within 30 days of receipt.
Accesses payor system resources to research and correct claims and initiate a recoupment when necessary.
Provides support to ANTHC division and departments on specific projects.
Performs other duties as assigned.

Credits Analyst II
Provides training, guidance and support to Credits Analyst I.
Reviews and resolves more complex credits.

Senior Credits Analyst
Performs duties of the Credits Analyst I and II.
Develops and tests new workflows and assists in implementation of new office processes and procedure.
Reviews and resolves accounts in credit balance status created in routine posting events as well as errors created by charges, coding and billing mistakes.
Conducts root cause analysis of issues affecting overpayments and assists in tracking, trending and reporting.
Assist in developing audit review methods in order to find new overpayment recovery opportunities.
Trains and mentors staff. Assists in monitoring of staff in training and beyond.
Takes lead on special projects as assigned to ensure timely completion.
Assists in distributing workload among coworkers; provides assistance to coworkers; monitors and reviews coworkers’ progress.

Other information:
KNOWLEDGE, SKILLS, ABILITIES:

• Knowledge of medical terminology, insurance billing and reimbursement.
• Knowledge of claims review, analysis and quality assurance.
• Knowledge of commercial and government insurance reimbursement programs.
• Knowledge of Alaska Tribal Health System, ANTHC, and Alaska Native culture(s).
• Strong attention to detail.
• Skill in operating a personal computer utilizing a variety of applications.
• Skill in tracking and accomplishing multiple tasks and assignments.
• Skill in tracking and accomplishing cooperative working relationships with other employees.
• Ability to establish and maintain cooperative working relationships with others.
• Ability to manage multiple priorities and tasks concurrently and meet deadlines.
• Ability to apply mathematical concepts and calculations.
• Ability to communicate effectively.

MINIMUM EDUCATION QUALIFICATION
All
A high school diploma or GED equivalent.

Credits Analyst II/Senior Credits Analyst

• An Associate’s Degree in Business, Finance or related discipline. Progressively responsible professional work experience may be substituted on a year-for-year basis for college education.

MINIMUM EXPERIENCE QUALIFICATION

Credits Analyst I
Non-supervisory – Three (3) years of work experience. An equivalent combination of relevant education and/or training may be substituted for experience.

Credits Analyst II
Non-supervisory – Five (5) years of department experience. An equivalent combination of relevant education and/or training may be substituted for experience.

Senior Credits Analyst
Non-supervisory – Seven (7) years of department experience. An equivalent combination of relevant education and/or training may be substituted for experience.

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 additional specific technical certifications.

Salary : $18