Med Claims Specialist II | Anchorage | Impact & Growth

Adaptationprofessionals; Anchorage (AK); Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Medical Insurance

Retirement Contributions

Paid Time Off

Education Assistance

Job summary

The Alaska Native Tribal Health Consortium (ANTHC) is seeking a Medical Claims Specialist II to prepare and process referrals and claims for services outside ANTHC. Under supervision, you will verify eligibility, review ICD/CPT codes, and issue purchase orders as needed.

The role supports patient access to care and ensures compliant, timely claim processing. ANTHC offers extensive benefits including health insurance, retirement, PTO, and education support.

Qualifications

• Experience with medical billing and claims processing.
• Knowledge of ICD-10 and CPT coding.
• Customer service oriented with strong communication.

Responsibilities

• Prepare and process eligible beneficiary referrals and claims.
• Verify patient eligibility and insurance information.
• Review and adjust accounts to ensure accurate processing of claims.
• Explain denials or letters of intent to customers clearly.
• Maintain knowledge of referral and claim processing software.

Skills

Medical billing

ICD-10 coding

CPT coding

Customer service

Education

Billing/coding certification or Associate degree

Job description

The Alaska Native Tribal Health Consortium (ANTHC) is seeking a Medical Claims Specialist II to prepare and process referrals and claims for services outside ANTHC. Under supervision, you will verify eligibility, review ICD/CPT codes, and issue purchase orders as needed.

The role supports patient access to care and ensures compliant, timely claim processing. ANTHC offers extensive benefits including health insurance, retirement, PTO, and education support.