Medicaid Travel Benefits Specialist I

Alaska Native Tribal Health Consortium (ANTHC); Anchorage (AK); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical Insurance

Dental & Vision Insurance

Paid Time Off

11 Paid Holidays

Parental Leave

Retirement 401(a) with employer match

Tuition Discounts

On-Site Child Care

Job summary

ANTHC in Alaska seeks a Staff Member to screen patient eligibility for Medicaid Travel Benefits and assist clinics in navigating the program. The role emphasizes accurate documentation review and helping patients access travel assistance through ANMC and state partners.

Responsibilities include coordinating with Medicaid officials, ensuring proper CPT/diagnosis coding, and advocating for patients while maintaining compliance. Weekend/holiday shifts may be required as part of coverage.

Qualifications

• High school diploma or GED is required.
• Minimum: 1 year Alaska Medicaid experience AND 2 years of customer centric experience.
• Basic computer, data entry, and documentation skills.

Responsibilities

• Evaluate documentation to determine Medicaid Travel Benefits eligibility.
• Serve as liaison between patient, ANMC and the State of Alaska regarding Medicaid Transportation Services and medical necessity for travel authorization.
• Communicate effectively with patients and healthcare professionals about required documents and authorization status.
• Coordinate with Prior Authorization, Provider Inquiry, and Claims Resolution units to ensure provider/claims resolution.
• Ensure accurate CPT and diagnosis codes and that authorizations reflect dates and services.

Skills

Alaska Tribal Health System knowledge

Customer service

Medical terminology

HIPAA privacy

Insurance/program knowledge

Data entry accuracy

Multitasking

Oral and written communication

Education

High school diploma or GED

Job description

ANTHC in Alaska seeks a Staff Member to screen patient eligibility for Medicaid Travel Benefits and assist clinics in navigating the program. The role emphasizes accurate documentation review and helping patients access travel assistance through ANMC and state partners.

Responsibilities include coordinating with Medicaid officials, ensuring proper CPT/diagnosis coding, and advocating for patients while maintaining compliance. Weekend/holiday shifts may be required as part of coverage.