Medicaid Prior Authorization Specialist l

About the role

The Yukon-Kuskokwim Health Corporation is a Tribal health care organization serving nearly 30,000 people across rural, southwest Alaska. Bethel, the regional hub and location of the only hospital in the region, has a population of nearly 7,000. The position is responsible for accurate and timely submission and recovery of healthcare claims.

Responsibilities

• Assist senior specialists with workload and work assigned tasks from Lead
• Aid in resolving account balances
• Adjust to an uneven flow of incoming workload
• Coordinate reimbursement resolution with all payer types
• Demonstrate excellent time management skills and set timelines to accomplish assigned duties within established time frames

Requirements

• High School diploma or GED
• One (1) year experience in health care reimbursement
• One (1) year customer service experience
• HFMA CRCR preferred
• IHS Tribal Billing knowledge preferred
• Experience using office machinery including printers, photocopiers, fax machines, and multi-line phone systems
• 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
• Working knowledge of billing submission types 1500, 1450 (UB04), 837I, 837P, 837D

Qualifications

• High School diploma or GED
• One (1) year experience in health care reimbursement
• One (1) year customer service experience
• HFMA CRCR preferred
• IHS Tribal Billing knowledge preferred
• Experience using office machinery including printers, photocopiers, fax machines, and multi-line phone systems
• 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
• Working knowledge of billing submission types 1500, 1450 (UB04), 837I, 837P, 837D

Skills

• Excellent time management skills
• Coordination of reimbursement resolution
• Ability to adjust to an uneven flow of incoming workload
• Knowledge of billing submission types
• Microsoft Office Suite proficiency
• Medical terminology knowledge

Benefits

• 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
• Retail plans
• Employee Wellness Center

Pay

Minimum Hourly Pay: $21.78

Schedule

80 Full time Temporary Status: Not Applicable Hours per Week: 40