Third Party Recovery Specialist ll

RPMGlobal; Ridley Township, Northern (PA, KY); Hybrid; USD 28,000 - 40,000; Full time

Benefits offered by this job

Generous PTO

11 paid holidays

Comprehensive healthcare coverage

Life and Disability Insurance

Flexible Spending Account

Employee Wellness Center

Job summary

Yukon-Kuskokwim Health Corporation is seeking a Revenue Management specialist in Bethel to ensure accurate submission and timely recovery of healthcare claims. You will coordinate with payer types, resolve balances, and manage workloads to meet deadlines.

Ideal candidates have experience in health care reimbursement, knowledge of IHS Tribal Billing, and proficiency with Cerner Millennium Revenue Cycle and MS Office. Alaska native preference applies.

Qualifications

• High School diploma or GED required or waived with education/experience
• Two years experience in health care reimbursement
• Two years customer service experience
• Experience with Cerner Millennium Revenue Cycle preferred
• IHS Tribal Billing knowledge preferred
• Typing speed of 50 wpm
• 10-key by touch
• Ability to speak Yupik preferred

Responsibilities

• Responsible for accurate and timely submission and recovery of healthcare claims
• Coordinate reimbursement resolution with all payer types
• Demonstrate time management and set timelines to meet duties
• Resolve account balances and related routine actions

Skills

C#

Yupik

Typing 50 wpm

MS Office

Education

High School diploma or GED

AAHAM CRCS-I/-P Preferred

CPC Preferred

HFMA CRCR Preferred

Tools

Cerner Millennium Revenue Cycle

Microsoft Office Suite

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. Responsible for all routine actions required in resolving account balances. Incumbent must have the ability to adjust to an uneven flow of incoming workload. 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. Ability to coordinate reimbursement resolution with all payer types.

Position Qualifications: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• High School diploma or GED required
• Degree requirement can be waived on a year for year basis for a combination of education and experience
• Two (2) years experience in health care reimbursement
• Two (2) years customer service experience
• AAHAM CRCS-I/-P Preferred
• CPC Preferred
• HFMA CRCR Preferred.
• Experience using office machinery including printers, photocopiers, fax machines, and multi-line phone systems
• IHS Tribal Billing knowledge required
• Experience with Cerner Millennium Revenue Cycle preferred
• IHS Tribal Billing knowledge 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 - beginning at 4.5 weeks
• Eleven paid holidays
• Comprehensive healthcare coverage
• Life and Disability Insurance
• Flexible Spending Account
• Employee Wellness Center

C#

Additional Information:

ID: 19033

Location: Bethel

Department: Revenue Management

Employment Duration: 80 Full time

Temporary Status: Not Applicable

Hours per Week: 40

Minimum Hourly Pay: 24.95

FLSA Status: Non-exempt

Yukon Kuskokwim Health Corporation is an Aff...

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] or phone [phone] and ask to speak with a recruiter.