Medical Billing Specialist II - Patient Lodging - on-site, Anchorage, AK

About this position: Medical Billing Specialist in Patient Lodging: This b illing specialist is comparable to Medicaid billing for a hotel and manages billing for patient lodging and meal services, including eligibility verification, charge review, claim submission, and denial resolution. This role ensures compliance with Medicaid and other payor requirements, maintains accurate documentation, and collaborates with Medicaid and Finance teams to support timely reimbursement.

The ideal candidate is detail-oriented, organized, and self-motivated, with the ability to work independently, manage multiple priorities, and accurately research and resolve billing discrepancies.

About ANTHC: 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.

About ANTHC's Benefits: 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).
• 401(a) ANTHC Retirement Plan: After one year of employment, ANTHC will begin making matching contributions of up to 5% of your eligible pay, based on your own contributions. In addition, you may be eligible for an annual discretionary contribution of up to 3% from the employer.
• Paid Time Off starts immediately, earning up to 6 hours per pay period, with paid time off accruals increasing based on years of service.
• Eleven 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.
• Emergency Travel Assistance
• Education Assistance or Education leave eligibility
• Discount program for travel, gym memberships, amusement parks, and more.

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.

Position Summary

Under close supervision, prepares and submits insurance claims; reviews and adjusts accounts to ensure accurate and thorough billing of claims.

Position Responsibilities:

Prepares and submits insurance claims. Determines, corrects and submits billable claims.

Completes insurance data for patient claims.

Processes, researches and corrects accounts; verifies diagnosis and authorization codes; identifies liability and guarantors; reviews and adjusts account balances; interprets Explanation of Benefits (EOBs).

Posts payments and adjustments in billing databases; prepares batches for posting.

Creates, organizes, corrects, updates and maintains accounts on data spreadsheets using medical billing software. Tracks status and confirms receipt of claims.

Performs other duties as assigned or required.

KNOWLEDGE and SKILLS

• Knowledge of medical billing and accounting procedures and applications.
• Knowledge of commercial insurance and government reimbursement programs.
• Knowledge of basic medical terminology and clinic processes.
• Knowledge of reception, typing, computer operations, and filing.
• Skill in operating a personal computer using a variety of software including medical billing applications.
• Skill in tracking and accomplishing multiple tasks and assignments.
• Skill in establishing and maintaining cooperative working relationships with other employees.
• Skill in conducting successful telephone consultations and operating a multi-line office phone system.

MINIMUM EDUCATION QUALIFICATION

High school diploma or GED equivalent.

MINIMUM EXPERIENCE QUALIFICATION

Non-supervisory – Three (3) years of experience working in a medical office performing medical billing processes. An equivalent combination of relevant education and/or training may be substituted for experience.