SouthEast Alaska Regional Health Consortium (SEARHC)

Community Wellness Services Analyst

SouthEast Alaska Regional Health Consortium (SEARHC)  •  United States (Onsite)  •  2 days ago
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Job Description

Pay Range:

Pay Range:$29.82 - $41.60
This
position functions within the SEARHC Community Wellness Department. This position will collaborate with other SEARHC departments and strategic partners to improve patient access to comprehensive prevention and healthcare services. This would include, but not limited to, coordination of program activities, documentation of services, eligibility screening, reimbursement for services using grant funds, and expansion of services.

The purpose of this position is to identify and assure payment of Community Wellness grant programming, ensuring utilization of grant funding for eligible patients, and promoting cost-effective health care outcomes. This position will monitor trends that will improve the overall accounts receivable by completing analysis of charge validation and denials resolution. The CW Services Analyst will also perform a variety of patient accounting functions including verifying grant enrollment, accounts receivable management, and claims follow-up.

SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.

Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health insurance, dental, and vision benefits, life insurance and long and short-term disability, and more.

Shift Details

  • Monday - Friday, 8AM - 5PM

Key Essential Functions and Accountabilities of the Job

  • Obtains and compares data from multiple sources and reviews for discrepancies using various applications

  • Performs quality assurance and validation tasks

  • Provides education to patient revenue generating departments to ensure compliant charging and coding practices for the Community Wellness Department

  • Collaborate with Patient Financial Services, Patient Access and Community Wellness Departments to develop and support workflows

  • Review provider documentation to ensure reimbursement for services

  • Reviews requests from other departments related to coding and charge capture

  • Provides guidance, communicates, and serves as subject matter expert for assigned service line related to the billing process, and other related subjects related to Community Wellness charges

  • Collaborate within cross-functional teams

  • Complete data entry for a lengthy amount of time

  • Work on different projects simultaneously, in a fast-paced setting with overlapping commitments and deadlines

  • Performs other duties as assigned, including special projects deemed necessary to meet grant guidelines

  • Assist the Community Wellness Department in achieving grant requirements and goals

  • Occasional travel is required. Travel is by jet, small aircraft, or ferry.

Education, Certifications, and Licenses Required

  • Bachelor’s degree or equivalent years of relevant experience in accounting, data entry, in-patient or outpatient hospital setting

Experience Required

  • Grant experience preferred

  • Four years or more of experience working with the healthcare revenue cycle

Knowledge of

  • Customer service principles

  • Processes to submit charges for grant expenses

  • Inpatient and outpatient billing processes

  • Payor remittances and CPT’s, HCPCS, and Revenue Codes

  • Major insurance companies' billing policies to ensure compliance with state and federal laws

  • Reconciling and balancing of payments received

  • Medical terminology

Skills in

  • Assessment, anticipation of needs, and data collection

  • Electronic health records programs and data tracking software (Cerner/Meditech)

  • Excel spreadsheets

  • Outlook SharePoint

  • OneDrive

  • MS Teams

  • MS Office Suite

Ability to

  • Able to multi-task

  • Able to utilize organizational skills and time management

  • Able to work autonomously

  • Be self-motivated

  • Ability to reassess priorities throughout the work shift and adapt as necessary

  • Able to successfully communicate both verbally and written

  • Ability to analyze, problem-solve, troubleshoot challenges

  • Occasional travel, as needed

Required Certifications

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

SouthEast Alaska Regional Health Consortium (SEARHC)

About SouthEast Alaska Regional Health Consortium (SEARHC)

For nearly 50 years, SEARHC has provided high-quality healthcare services to the residents of Southeast Alaska.

Operating as an independent and nonprofit health Consortium, SEARHC provides a comprehensive range of health-related services, including primary, urgent and specialty medical care, dental services, behavioral health support, wellness programs, optometry services and more. We are dedicated to improving the health, well-being and quality of life for all people in these communities.

SEARHC is committed to keeping care closer to home and making advanced medical technologies accessible to all. One of the many ways SEARHC does this is by offering specialty clinics or sending medical specialists to remote communities and facilities to care for patients who cannot travel.

Established in 1975, SEARHC is one of the largest Native-run health organizations in the United States. In 1976, SEARHC contracted with the Indian Health Service under the Indian Self-Determination and Education Assistance Act to assume management of the Community Health Aide Program. Today, SEARHC has more than 1,700 employees and operates in 27 communities throughout Southeast Alaska, including two Critical Access Hospitals.

Industry
Healthcare & Social Services
Company Size
1,001-5,000 employees
Headquarters
Juneau, AK
Year Founded
Unknown
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