Medicaid Prior Authorization Specialist l

Medicaid Prior Authorization Specialist lWe 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 requiredDegree requirement can be waived on a year for year basis for a combination of education and experienceOne (1) year experience in health care reimbursementOne (1) year customer service experienceHFMA CRCR PreferredExperience using office machinery including printers, photocopiers, fax machines, and multi-line phone systemsIHS Tribal Billing knowledge preferredExperience with Cerner Millennium Revenue Cycle preferredCollege level course in Medical Terminology preferredVersed in Microsoft Office SuiteTyping speed of 50 wpm10-key calculator skills, by touchAbility to speak Yupik preferredMust be able to demonstrate working knowledge of the billing submission types 1500, 1450 (UB04), 837I, 837P, 837DBenefits Include:Generous PTO – starting at 4.5 weeks per year, accrued over timeEleven paid holidaysComprehensive healthcare coverageLife and Disability InsuranceFlexible Spending AccountRetirement plansEmployee Wellness CenterPlus More!