Un'ina Navigator

Kenaitze Indian Tribe; Kenai (AK); On-site; USD 40,000 - 62,000; Full time

Job summary

The Kenaitze Indian Tribe is seeking an un’ina navigator to serve as the single point of contact for coverage of services at the Dena’ina Wellness Center. You will assist with applications for alternate resources and process purchase/referred care claims, providing excellent customer service to un’ina and external customers.

Responsibilities include helping families apply for assistance, verifying insurance needs, reconciling invoices, and coordinating with care workgroups to ensure timely

Qualifications

• High School Diploma or GED required.
• 1 year experience in a medical office.
• 1 year experience working with Medicare, Medicaid, Denali Kid Care, application process.
• 1 year experience verifying alternate payor sources.
• 1 year experience in customer service.
• Experience with Electronic Health Records (EHR).

Responsibilities

• Serve as the single point of contact for the un’ina regarding coverage of services.
• Assist with applications for alternate resources to pay for medical care.
• Verify insurance, Medicaid, Denali Kid Care, Medicare for appointments.
• Reconcile and process vendor invoices as applicable.
• Be the primary contact for questions about purchase/referred care and insurance.
• Participate in the purchase/referred care workgroup with timely follow up.

Skills

Detail oriented

Interpersonal skills

Problem solving

Technical skills

Microsoft Office

HIPAA knowledge

Education

High school diploma or GED

Tools

Microsoft Office Suite

Job description

Un'ina Navigator

Dept./Program: Primary Care
Division: Health Systems
Reports To: Primary Care Manager
Supervises: N/A
Revision Date: 09/18/2020
Employment Status: Full Time
FLSA Status: Non-Exempt
Schedule: 40 hours/week
Preference: TERO Ordinance 2017-01, P.L. 93-638

Job Summary

The un'ina navigator is the single point of contact for an un'ina regarding coverage of services at the Dena'ina Wellness Center. The un'ina navigator assists with application for alternate resources and process purchase/referred care claims. Provides excellent customer service to un'ina and external customers.

Essential Functions

• Work collaboratively with un'ina to explore options for financial assistance for medical services.
• Assists un'ina and families with applying and renewing applications for alternate resources to pay for medical care.
• Perform verification of insurance, Medicaid, Denali Kid Care, Medicare, etc. for scheduled appointments
• Reconcile and process vendor invoices (ANTHC, Quest, City of Kenai, North Star Medical Imaging, Kenai Peninsula Borough, Procare, etc.)
• Be the point of contact for un'ina and families, answering questions regarding purchase/referred care, and insurance.
• Participate in the purchase/referred care workgroup, with timely follow up to un'ina regarding the workgroups decision.
• Communicate directly with the un'ina regarding the purchase/referred care process.

It is the intent of this job description to highlight the essential functions of the position; however, it is not an all-inclusive list. The incumbent may be called upon and required to follow or perform other duties and tasks requested by his/her supervisor, consistent with the purpose of the position, department and/or the Kenaitze Indian Tribe's objectives.

Working Conditions

Lifting Requirements

• Sedentary work Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.

Physical Requirements

• Stand or Sit (Stationary position)
• Walk (Move, Traverse)
• Use hands/fingers to handle or feel (Operate, Activate, Use, Prepare, Inspect, Place, Detect, Position)
• Talk/hear (Communicate, Detect, Converse with, Discern, Convey, Express oneself, Exchange information)
• See (Detect, Determine, Perceive, Identify, Recognize, Judge, Observe, Inspect, Estimate, Assess)
• Repetitive Motion

OSHA Categories

• Category III Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid

Equipment and Tools

• List Equipment used for job: computer, fax machine

Qualifications

Education

• High School Diploma or General Education Degree (GED)

Experience

• One (1) year experience in a medical office
• One (1) year experience working with Medicare, Medicaid, Denali Kid Care, application process.
• One (1) year experience working on verifying alternate payor sources
• One (1) year experience customer service
• Experience with Electronic Health Records (EHR).

License/Certification

• Must have a valid Alaska State Driver's License and remain insurable under the Tribe's policy or obtain within 90 days of hire.
• Must have BLS/CPR certification or obtain within 90 days of hire

Special Skills

• Detail oriented, Interpersonal skills, problem-solving skills and technical skills.
• Be familiar with alternative payment resource options.
• Communicate clearly and effectively with co-workers, health professionals, and un'ina.
• Working knowledge of Microsoft office suite
• Knowledge and understanding of HIPPA and 42 CFR.

Preferred

• Knowledge and experience working with cultural diversities.