The Health Benefits Specialist assists SCF achieve the goal of increasing the number of customer-owners enrolled with a third party payer. The Health Benefits Specialist role is to determine whether customer-owner currently has a third party payer, verify/confirm that third party payer information is current and correct. If not currently insured, the Health Benefits Specialist screens and evaluates whether customer-owner may qualify for any known payer sources, i.e. Medicaid, Medicare, Denali Kid Care, VA and/or the Federal Insurance Marketplace; and provides assistance to the customer-owner for the enrollment process. Minimum Qualifications: High school diploma or GED Three (3) years prior experience performing administrative and customer service duties with a minimum of one year of experience performing revenue cycle duties which can include scheduling, registration, health information management, coding, billing, and/or collections experience; or demonstrated proficiency as an Administrative Support III with one year of revenue cycle duties at Southcentral Foundation Certification as a State of Alaska - Certified Application Counselor (CAC) or obtain within 45 days of hire Maintain State of Alaska Certified Application Counselor certification Additional Qualifications for Health Benefits Specialist II: Meets all requirements of Health Benefits Specialist I in addition to the following: One additional year as a Health Benefits Specialist, or demonstrated proficiency as a Health Benefits Specialist I at Southcentral Foundation. Additional Qualifications for Health Benefits Specialist III: Meets all requirements of Health Benefits Specialist II in addition to the following: Bachelor’s degree or four (4) years benefits enrollment experience or equivalent combination of education and experience or demonstrated proficiency as a Health Benefits Specialist II at SCF. Completion of Department of Veterans Affairs-Tribal Veteran Representative training Employee Health Requirements: Compliance with our Employee Health procedure is a condition of SCF employment. You are required to agree that you will comply with all job-related employee health screening and immunizations prior to your first day of employment. Jobs designated as a Health Care Personnel (HCP) position, require that you have documentation that you have completed the following immunizations prior to your first day of employment: MMR (Measles, Mumps and Rubella), Varicella (Chicken Pox), Hepatitis B, Influenza, and T-dap (Tetanus - Diphtheria - Pertussis), COVID19 vaccination required. #J-18808-Ljbffr
Southcentral Foundation