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Manager of Travel Management Office - Full Time - Medicaid Travel Office - Closes 2/8/2021

Alaska Native Tribal Health Consortium

Manager of Travel Management Office - Full Time - Medicaid Travel Office - Closes 2/8/2021

Anchorage, AK
Full Time
Paid
  • Responsibilities

    JOB SUMMARY: Under general supervision, evaluates, develops, improves and maintains Care Coordination and Travel Management Office.

    REPRESENTATIVE DUTIES Travel Management / Care Coordination Assists in managing the day to day operations of the Travel Management and Care Coordination departments. 

    Works with the Director and other division and organizational leadership in determining and implementing goals and objectives that are consistent with the overall strategic plan of ANMC.  Coordinates system-wide activities of ANMC’s Travel Management and Care Coordination departments.

    May serve as the Director of Travel Management / Customer Experience in his/her absence.

    Communicates with ANMC Providers, Case Managers and Regional Healthcare organizations to ensure patient referrals and all logistical matters are completed in a timely manner by the CC/TMO staff.  Serves as the first level subject matter expert in the area of Medicaid regulations and guideline interpretation and must be able to assist customers in understanding what is required to obtain prior authorization, billing for transportation services and patient travel arrangements.  Oversees the TMO services with other agencies and departments to resolve concerns and conflicts.

    Ensures that the proper State and Federal Regulations are being followed in the management of the Prior Authorization function of the Travel Management Office.

    Ensures customer satisfaction; researches and resolves customer concerns.

    Provides leadership, direction, and guidance to assigned staff. Develops goals and priorities in conjunction with employees, and assigns tasks and projects. Develops staff skills and training plans. Counsels, trains, and coaches subordinate staff. Implements corrective actions and conducts performance evaluations.

    Ensures there is adequate coverage for all Care Coordination Center and Travel Management Operations

    Performs other duties as assigned.

    Required Skills

    KNOWLEDGE and SKILLS  Knowledge of customer service concepts and practices. Knowledge of federal and regional safety statutes, rules and regulations. Knowledge of the Privacy Act of 1974 and HIPAA Privacy Rule Act of 1966. Knowledge of state, federal, and public/private insurance, including Medicaid/Medicare. Knowledge of medical terminology and clinic systems. Knowledge of standard regulations and principles of federal Native programs, related to research, data collection and analysis. Knowledge of patient/family centered care. Knowledge of budgeting and billing management techniques. Knowledge of project management and resource allocation techniques. Knowledge of patient transport processes. Knowledge of Alaskan culture and Alaska Tribal Health System. Knowledge of process for policy development, and problem identification with associated resolution. Knowledge in continuous quality improvement concepts, theories, and practice. Knowledge in Alaska Medicaid Travel Guidelines Knowledge of billing practices Knowledge of Travel Management Skill in effectively managing and leading staff, and delegating tasks and authority. Skill in assessing and prioritizing multiple tasks, projects and demands. Skill in analyzing customer service issues and preparing recommendations based on findings. Skill in establishing and maintaining cooperative working relationships with others. Skill in oral and written communication. Skill in working independently, making decisions and maintaining confidentiality. Skill in operating a personal computer utilizing a variety of software applications. Skill in completing concern investigations. Skills in coordinating performance improvement committees. Skills in database management. Skill in writing guidelines and being able to communicate these to staff in multiple formats to adjust to any learning style.

    Required Experience

    MINIMUM EDUCATION QUALIFICATION A Bachelor’s Degree in Business, Office Management, Administration, or similar field. Progressively responsible professional/exempt related work experience, education, or training may be substituted on a year-for-year basis for college education.

    MINIMUM EXPERIENCE QUALIFICATION Non-supervisory – Seven (7) years of customer service experience. Related work experience, education, or training may be substituted for experience. AND Supervisory – Five (5) years of customer service team management experience. State Medicaid Office or similar work experience. An equivalent combination of relevant education and/or training may be substituted for experience.

    MINIMUM CERTIFICATION QUALIFICATION N/A

    PREFERRED EDUCATION QUALIFICATION N/A

    PREFERRED EXPERIENCE QUALIFICATION Customer service experience working in a health care environment is preferred.

    PREFERRED CERTIFICATION QUALIFICATION N/A

    ADDITIONAL REQUIREMENTS Depending on the needs of the organization, some incumbents in this job class may be required to obtain additional certifications or training in one or more specialty areas. 

    WORKING CONDITIONS The following demands are representative of those that must be met by an employee to successfully perform the essential functions of this job:  Must be able to lift approximately 10 pounds.    ANMC is not a latex free facility; an employee should expect to work in an environment where latex may be present. Work involves the potential for exposure to infectious diseases. May be required to work outside the traditional work schedule.

  • Qualifications

    KNOWLEDGE and SKILLS  Knowledge of customer service concepts and practices. Knowledge of federal and regional safety statutes, rules and regulations. Knowledge of the Privacy Act of 1974 and HIPAA Privacy Rule Act of 1966. Knowledge of state, federal, and public/private insurance, including Medicaid/Medicare. Knowledge of medical terminology and clinic systems. Knowledge of standard regulations and principles of federal Native programs, related to research, data collection and analysis. Knowledge of patient/family centered care. Knowledge of budgeting and billing management techniques. Knowledge of project management and resource allocation techniques. Knowledge of patient transport processes. Knowledge of Alaskan culture and Alaska Tribal Health System. Knowledge of process for policy development, and problem identification with associated resolution. Knowledge in continuous quality improvement concepts, theories, and practice. Knowledge in Alaska Medicaid Travel Guidelines Knowledge of billing practices Knowledge of Travel Management Skill in effectively managing and leading staff, and delegating tasks and authority. Skill in assessing and prioritizing multiple tasks, projects and demands. Skill in analyzing customer service issues and preparing recommendations based on findings. Skill in establishing and maintaining cooperative working relationships with others. Skill in oral and written communication. Skill in working independently, making decisions and maintaining confidentiality. Skill in operating a personal computer utilizing a variety of software applications. Skill in completing concern investigations. Skills in coordinating performance improvement committees. Skills in database management. Skill in writing guidelines and being able to communicate these to staff in multiple formats to adjust to any learning style.

  • Industry
    Hospital and Health Care