Supports and coordinates travel services for KANA patients by coordinating patient travel and generating payment requisitions for travel services.
Essential Duties and Responsibilities The following duties are not intended to serve as a comprehensive list of all duties performed by this position. Other duties may be assigned.
- Supports the organization’s mission and goals, quality standards, and patient-centered medical home philosophy. Embraces KANA’s culture of serving the whole person through our provision of services. Incorporates KANA’s core values of Courtesy, Caring, Respect, Sharing, and Pride in all activities and decisions.
- Upholds KANA’s Code of Ethics by conducting professional activities with honesty, integrity, respect, fairness, and good faith in a manner that reflects positively upon the organization.
- Responsible for ensuring patients meet the eligibility requirements for travel. Refer patient to Patient Benefits Coordinator for screening if patient does not have insurance coverage.
- Coordinates travel to Kodiak/KANA for appointments for patients in the outlying villages.
- Utilizes AFHCAN Program to pull travel referral letters from ANMC/ANTHC/SCF for patients needing travel arrangements. Makes contact with patient to confirm details of travel needed and confirm insurance coverage.
- Coordinates with the Patient Benefit Coordinator to ensure alternate resources available and utilized such as Medicare, Medicaid, private insurance, and federal programs such as VA, TSHIP, Worker’s Comp or Fisherman’s Fund.
- Arranges travel and secure lodging for KANA beneficiaries with medical or dental referrals both within and outside of the Kodiak area. Assist in patient care coordination by creating timely travel packets for authorized, scheduled appointments.
- Communicate with Alaska Medicaid office personnel to secure prior-authorization for all travel related to Medicaid covered patients. Call and update all prior authorizations when patients are held in Kodiak due to weather or medical needs.
- Record all travel related charges in ReQlogic program keeping track of all expenditures.
- Participate in the afterhours travel call schedule as assigned.
Supervisory Responsibilities: This job has no supervisory responsibilities
Requirements
High school diploma or general education degree (GED) and three years experience working with the public in an office setting; or equivalent combination of education and experience. One year experience working with Medicaid. Knowledge of HIPAA, and other state and federal regulations governing healthcare practices preferred.
Due to the unpredictable nature of after-hours patient travel needs, the Patient Travel Specialist must possess a valid driver’s license. On-call responsibilities may require immediate response and travel, such as delivering travel documents, vouchers, or meal cards to patients with little notice. The ability to independently and promptly travel between locations is essential to effectively fulfill on-call duties and support patient needs in a timely manner.
