September 17, 2024

Alaska Native Tribal Health Consortium

Anchorage

Credits Analyst II - Credit/Self-Pay/TPL - Patient Financial Services - On Site Work Schedule

The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 171,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health services, which include comprehensive medical services at the Alaska Native Medical Center, wellness programs, disease research and prevention, rural provider training and rural water and sanitation systems construction.
ANTHC is the largest, most comprehensive Tribal health organization in the United States, and Alaska’s second-largest health employer with more than 3,100 employees offering an array of health services to people around the nation’s largest state.
Our vision: Alaska Native people are the healthiest people in the world.

ANTHC offers a competitive and comprehensive Benefits Package for all Benefit Eligible Employees, which includes:

Medical Insurance provided through the Federal Employee Health Benefits Program as a Tribal Employee, with over 20 plans and tiers.

Cost-Share Dental and Vision Insurances

Discounted Pet Insurance

Retirement Contributions with Pre-Tax or Roth options into a 403(b).

Retirement Match and Discretionary. ANTHC matches up to 5%, with a 3% discretionary contribution after one year of employment into a 401(a).

Paid Time Off starts immediately, earning up to 6 hours per pay period, with paid time off accruals increasing based on years of service.

Twelve Paid Holidays

Paid Parental Leave or miscarriage/stillbirth eligibility after six months of employment

Basic Short/Long Term Disability premiums, Accidental Death and Dismemberment (AD&D) Insurance, and Basic Life Insurance are covered 100% by ANTHC, with additional options for Short-Term Disability Buy-Up Coverage and Voluntary Life for yourself and your family members.

Flexible Spending Accounts for Healthcare and Dependent Care.

Ancillary Cash Benefits for accident, hospital indemnity, and critical illness.

On-Site Child Care Facility with expert-designed classrooms for early child development and preschool.

Employee Assistance Program with support for grief, financial counseling, mental/emotional health, and discounted legal advice.

Tuition Discounts for you and your eligible dependents at Alaska Pacific University.

On-Site Training Courses and Professional Development Opportunities.

License and certification reimbursements and occupational insurance for medical staff.

Gym Access to Alaska Pacific University includes a salt water pool, rock climbing, workout gym, and steep discounts for outdoor equipment rentals.

Emergency Travel Assistance

Education Assistance or Education leave eligibility

Discount program for travel, gym memberships, amusement parks, and more.

or contact Recruitment directly at HRRecruiting@anthc.org.

Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act.
Summary:
Under general supervision, the Credits Analyst is responsible for the timely research and resolution of all outstanding credit balances, processing of refunds to efficiently resolve patients’ and insurance companies’ credits and refund requests, and for reviewing and resolving complex credits.

Responsibilities:

R eviews and resolves accounts in credit balance status.

F ollows up on open credit balances accurately and promptly. Manages work queues related to overpayments and credit balances.

I dentifies trends, communicates findings and escalates as appropriate.

E valuates the expected reimbursement per the existing contracts and follows appropriate guidelines to report and escalate discrepancies.

E stablishes a system to ensure refund requests from insurance companies are processed within 30 days of receipt.

A ccesses payor system resources to research and correct claims and initiate a recoupment when necessary.

P rovides support to ANTHC division and departments on specific projects.

P erforms other duties as assigned.

C redits Analyst II

P rovides training, guidance and support to Credits Analyst I.

R eviews and resolves more complex credits.

S enior Credits Analyst

P erforms duties of the Credits Analyst I and II.

D evelops and tests new workflows and assists in implementation of new office processes and procedure.

R eviews and resolves accounts in credit balance status created in routine posting events as well as errors created by charges, coding and billing mistakes.

C onducts root cause analysis of issues affecting overpayments and assists in tracking, trending and reporting.

A ssist in developing audit review methods in order to find new overpayment recovery opportunities.

T rains and mentors staff. Assists in monitoring of staff in training and beyond.

T akes lead on special projects as assigned to ensure timely completion.

A ssists in distributing workload among coworkers; provides assistance to coworkers; monitors and reviews coworkers’ progress.

Other information:

KNOWLEDGE, SKILLS, ABILITIES:

K nowledge of medical terminology, insurance billing and reimbursement.
K nowledge of claims review, analysis and quality assurance.
K nowledge of commercial and government insurance reimbursement programs.
K nowledge of Alaska Tribal Health System, ANTHC, and Alaska Native culture(s).
S trong attention to detail.
S kill in operating a personal computer utilizing a variety of applications.
S kill in tracking and accomplishing multiple tasks and assignments.
S kill in tracking and accomplishing cooperative working relationships with other employees.
A bility to establish and maintain cooperative working relationships with others.
A bility to manage multiple priorities and tasks concurrently and meet deadlines.
A bility to apply mathematical concepts and calculations.

M INIMUM EDUCATION QUALIFICATION

A ll

A high school diploma or GED equivalent.

C redits Analyst II/Senior Credits Analyst

A n Associate’s Degree in Business, Finance or related discipline. Progressively responsible professional work experience may be substituted on a year-for-year basis for college education.

M INIMUM EXPERIENCE QUALIFICATION

C redits Analyst I

N on-supervisory – Three (3) years of work experience. An equivalent combination of relevant education and/or training may be substituted for experience.

C redits Analyst II

N on-supervisory – Five (5) years of department experience. An equivalent combination of relevant education and/or training may be substituted for experience.

S enior Credits Analyst

N on-supervisory – Seven (7) years of department experience. An equivalent combination of relevant education and/or training may be substituted for experience.

A DDITIONAL REQUIREMENTS

M ay be required to work outside the traditional work schedule.

M ay be called out to work off-shift in emergency situations.

A ccording to the needs of the organization, some incumbents in this job class may be required to obtain additional specific technical certifications.