Medicaid Prior Authorization Specialist l

YKHC Yukon Kuskokwim Health Corporation; Bethel (CT); On-site; USD 2,387,000 - 3,399,000; Full time

Benefits offered by this job

PTO

Paid holidays

Healthcare coverage

Life Insurance

Disability Insurance

Flexible Spending Account

Retirement plans

Employee Wellness Center

Job summary

Yukon Kuskokwim Health Corporation is seeking an entry level Recovery Specialist to support accurate submission and recovery of healthcare claims. You will assist senior specialists, handle routine tasks, and coordinate with various payer types to resolve balances.

Ideal candidates have a High School diploma, 1 year in healthcare reimbursement, and strong MS Office skills. Knowledge of billing types and Yupik language would be a plus, with opportunities for growth in a Tribal health care setting.

Qualifications

• High School diploma or GED required; degree waiver possible with experience.
• 1 year health care reimbursement experience; 1 year customer service experience.
• HFMA CRCR preferred; knowledge of Cerner Millennium Revenue Cycle preferred.

Responsibilities

• Submit and recover healthcare claims accurately and timely.
• Assist senior specialists and Lead with workload and tasks.
• Coordinate reimbursement resolution with all payer types and manage timelines.

Skills

Time management

Customer service

Typing speed 50 wpm

Education

High School diploma

HFMA CRCR

Medical Terminology courses

Tools

Microsoft Office

Office machinery

Job description

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!

Compensation

Pay Range Minimum: 21.78

Employment Type: Regular Time

Type: Full time

Hours Per Week: 40

FLSA Exempt: No

Equal Opportunity Employment

Yukon Kuskokwim Health Corporation is an Affinitive 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. For more information, please contact the YKHC Recruitment Department at [e-mail]

Join YKHC, a Tribal Health Organization serving 58 tribes in southwest Alaska. We offer comprehensive healthcare, from community clinics to a regional hospital, dental, behavioral health, and more. Come be part of our team!