Health Benefits Specialist: Enrollment & Eligibility Support

Bristol Bay Area Health Corporation; Dillingham (AK); On-site; USD 50,000 - 62,000; Full time

Job summary

The Bristol Bay Area Health Corporation in Dillingham, Alaska, is seeking a Health Benefits Specialist I/II to support health benefit programs and ensure eligible individuals receive accurate information and timely access to benefits.

You will collaborate with internal teams and external vendors to resolve inquiries, process enrollments, and maintain regulatory compliance, contributing to employee satisfaction and quality patient care.

Qualifications

• High school diploma or equivalent; Associate’s degree or higher preferred.
• Three years prior experience performing administrative and customer service duties.
• One-year (1) experience performing duties in scheduling, registration, health information management, coding, and/or billing.
• Experience in benefits administration, customer service, or a related field within healthcare or social assistance.
• Basic knowledge of health insurance plans, terminology, and claims processing.
• Proficiency with computer systems and software applications relevant to benefits administration.
• Strong communication skills to effectively interact with employees, vendors, and internal teams.

Responsibilities

• Assists patients with inquiries related to health benefit plans, coverage details, and claims processing.
• Process enrollment, changes, and terminations in health benefit programs accurately and within established timelines.
• Collaborate with insurance carriers, third-party administrators, and internal departments to resolve benefit issues and discrepancies.
• Maintain up-to-date knowledge of health benefit policies, regulations, and compliance requirements to ensure accurate information dissemination.
• Prepare and maintain detailed records and reports related to health benefits administration and utilization.
• Support open enrollment activities by providing guidance and educational materials to patients.
• Identify opportunities for process improvements to enhance the efficiency and effectiveness of health benefits administration.
• Screens and interviews patients to determine eligibility for alternate health resources (AHR) such as Medicaid, Denali Kid Care, Medicare, VA, Tribally Sponsored Health Insurance (TSHIP), HRSA/Sliding Fee discounts, or other health programs.

Skills

Communication skills

Customer service

Benefits administration

HIPAA knowledge

Analytical ability

Education

High school diploma

Associate degree preferred

Bachelor's degree preferred

Tools

HRIS

Benefits software

Microsoft Office

Job description

The Bristol Bay Area Health Corporation in Dillingham, Alaska, is seeking a Health Benefits Specialist I/II to support health benefit programs and ensure eligible individuals receive accurate information and timely access to benefits.

You will collaborate with internal teams and external vendors to resolve inquiries, process enrollments, and maintain regulatory compliance, contributing to employee satisfaction and quality patient care.