Senior Medical Claims Specialist II

Alaska Native Tribal Health Consortium (ANTHC); Anchorage (AK); On-site; USD 50,000 - 65,000; Full time

Benefits offered by this job

Medical Insurance

Paid Time Off

Retirement Contributions

Tuition Discounts

On-Site Child Care

Job summary

A nonprofit health organization is seeking a Medical Claims Specialist II to manage referrals and claims processing. The ideal candidate will have a billing or coding certification and two years of relevant experience. Key responsibilities include determining patient eligibility, processing claims, and assisting patients with inquiries. This position offers a comprehensive benefits package and the opportunity to support the health needs of Alaska Native and American Indian communities.

Qualifications

• Knowledge of alternative health resources.
• Two years of experience in medical billing or claims processing.
• Skill in operating a personal computer and various software applications.

Responsibilities

• Process referrals and medical claims for beneficiaries.
• Determine patient eligibility and verify insurance information.
• Provide assistance to patients and handle inquiries.

Skills

Knowledge of medical insurance process

Knowledge of ICD-10 and CPT coding

Customer service skills

Knowledge of electronic medical record systems

Effective communication

Education

Billing or coding certification and/or Associate's degree in medical billing and coding

Job description

A nonprofit health organization is seeking a Medical Claims Specialist II to manage referrals and claims processing. The ideal candidate will have a billing or coding certification and two years of relevant experience. Key responsibilities include determining patient eligibility, processing claims, and assisting patients with inquiries. This position offers a comprehensive benefits package and the opportunity to support the health needs of Alaska Native and American Indian communities.