Medicaid Prior Authorization Specialist I
Yukon-Kuskokwim Health Corp., Bethel, AK, United States
Medicaid Prior Authorization Specialist I
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 riversthe 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!
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 riversthe 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!