Easter Seals Jobs

Un'ina Navigator

Dept./Program: Primary Care

Division: Health Systems

Reports To: Medical Office Manager

Employment Status: Full Time

FLSA Status: Non-Exempt

Schedule: 40 hours/52 weeks

Preference: TERO Ordinance 2017-01, P.L. 93-638

Revision Date: 1/5/2023

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
• Ensures compliance with Tribal, federal, state, and local employment laws and regulations, Tribal policies and TERO ordinance

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 workExerting 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: Fax machine
• List Tools: N/A
• Drives KIT or Personal Vehicle: N/A

Qualifications

Education

• High School Diploma or General Education Degree (GED)

Experience

• One (1) year of experience in a medical office
• One (1) year of 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 to conduct tribal business and must remain insurable under the Tribe's policy
• Must have BLS/CPR certification or obtain within 90 days of hire

Preferred

• Knowledge and experience working with cultural diversities

Special Skills

• etail 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
• Conducts business in a service-oriented manner that is attentive, pleasant, respectful and kind when dealing with un'ina, visitors, co-workers, and others

This position is a Covered Position subject to all requirements of the Alaska Barrier Crimes Act (ABCA) and to the Indian Child Protection and Family Violence Prevention Act, (ICPA). ABCA and ICPA requirements apply and must be complied with at all times in order to remain in the position.

Preference shall be given to eligible qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act.