Medicaid Prior Authorization Specialist l

Yukon-Kuskokwim Health Corporation; Bethel (AK); On-site; USD 25,000 - 35,000; Full time

Benefits offered by this job

Generous PTO starting at 4.5 weeks per

Eleven paid holidays

Comprehensive healthcare coverage

Life and Disability Insurance

Flexible Spending Account

Retirement plans

Employee Wellness Center

Plus More!

Job summary

Yukon-Kuskokwim Health Corporation in Bethel, AK, is seeking an entry-level Recovery Specialist to ensure accurate submission and recovery of healthcare claims. You will assist senior specialists with workload and tasks from the Lead, resolving account balances and coordinating with all payer types.

The role requires a High School diploma or GED and 1 year of healthcare reimbursement and customer service experience.

Qualifications

• High School diploma or GED required; degree waivers possible for education/experience
• One year experience in health care reimbursement
• One year customer service experience
• HFMA CRCR preferred
• Experience with billing systems and office equipment
• Knowledge of 1500/1450 UB04 and 837I/837P/837D billing types preferred
• Microsoft Office proficiency and 50 wpm typing speed

Responsibilities

• Submit and recover healthcare claims accurately and in a timely manner.
• Assist senior specialists with workload and tasks from Lead.
• Coordinate reimbursement resolution with all payer types.
• Adapt to an uneven flow of incoming workload while meeting deadlines.
• Ensure applicable timelines and goals are met for assigned duties.

Skills

Customer service

Time management

Typing 50 wpm

10-key by touch

Billing submission knowledge

IHS Tribal Billing knowledge

Yupik language ability

Education

High School diploma or GED

HFMA CRCR Preferred

Medical Terminology course preferred

Tools

Cerner Millennium Revenue Cycle

Microsoft Office Suite

Job description

Bethel , Alaska
We are working together to achieve excellent health. Come join us!

Bethel , Alaska
We are working together to achieve excellent health. Come join us!
The Yukon-Kuskokwim Health Corporation is a Tribal health care organization, serving nearly 30,000 people living across rural, southwest Alaska in villages with populations from about 10 to more than 1,000. Bethel, the regional hub and location of the only hospital in the region, has a population of nearly 7,000. The Yukon-Kuskokwim Delta is home to thousands of lakes and two primary rivers—the Kuskokwim and Yukon.
We offer a broad range of employment opportunities and the chance to make a meaningful impact on the health of people in the region.

Position Summary
Responsible for accurate and timely submission and recovery of healthcare claims. As the entry level Recovery Specialist, this individual will assist senior specialists with workload and work assigned tasks from Lead. Responsible for all routine actions required in resolving account balances. Incumbent must have the ability to adjust to an uneven flow of incoming workload. Ability to coordinate reimbursement resolution with all payer types. Must be able to demonstrate excellent time management skills and be able to set timelines and goals to ensure that all assigned duties are accomplished within established time frames.

Position Qualifications

• High School diploma or GED required
• Degree requirement can be waived on a year for year basis for a combination of education and experience
• One (1) year experience in health care reimbursement
• One (1) year customer service experience
• HFMA CRCR Preferred
• Experience using office machinery including printers, photocopiers, fax machines, and multi-line phone systems
• IHS Tribal Billing knowledge preferred
• Experience with Cerner Millennium Revenue Cycle preferred
• College level course in Medical Terminology preferred
• Versed in Microsoft Office Suite
• Typing speed of 50 wpm
• 10-key calculator skills, by touch
• Ability to speak Yupik preferred
• Must be able to demonstrate working knowledge of the billing submission types 1500, 1450 (UB04), 837I, 837P, 837D

Benefits Include

• Generous PTO – starting at 4.5 weeks per year, accrued over time
• Eleven paid holidays
• Comprehensive healthcare coverage
• Life and Disability Insurance
• Flexible Spending Account
• Retirement plans
• Employee Wellness Center
• Plus More!

C#
Additional Information
ID: 18826 Location: Bethel Department: Medicaid Prior Authorization Employment Duration: 80 Full time Temporary Status: Not Applicable Hours per Week: 40 Minimum Hourly Pay: 21.78 FLSA Status: Non-exempt

Yukon Kuskokwim Health Corporation is an Affiantive Action/Equal Opportunity Employer. All qualified individuals will receive consideration for employment without regard to race, ethnicity, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status and any other basis protected by law. Individuals with disabilities needing assistance in the recruitment process are encouraged to contact Human Resources directly.
Under P.L. 93-638, preference is given to Alaska Native/American Indian applicants.