Medicaid Prior Authorization Specialist I

1 month ago

Bethel, United States tapwage Full time
Position Description

Medicaid Prior Authorization Specialist I

Bethel, Alaska

The vision:
Through Native Self-Determination and Culturally Relevant Health Systems, we strive to be the healthiest people.


At the Yukon-Kuskokwim Health Corporation (YKHC) we administer a comprehensive healthcare system throughout 58 rural communities with a mission of Working Together to Achieve Excellent Health.

YKHC serves 58 federally-recognized Tribes and operates 41 Village Clinics. Our five larger communities are served by five Sub-Regional Clinics. All communities in our service area are served by the 55 bed regional hospital in Bethel.

For more information about our hospital or the region please visit

[Yukon-Kuskokwim Health Corporation – We Strive to be the Healthiest People )])

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 multiline 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
  • 10key 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
  • Ten paid holidays
  • Comprehensive healthcare coverage
  • Life and Disability Insurance
  • Flexible Spending Account
  • Retirement plans
  • Employee Wellness Center
CX

Additional Information:
ID: 16045 Location:

Bethel Department:
Medicaid Prior Authorization Employment Duration: 80 Full time

Temporary Status:
Not Applicable Hours per Week: 40

Yukon Kuskokwim Health Corporation is an Affirmative 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 , preference is given to Alaska Native/American Indian applicants.


For more information, please contact the YKHC Recruitment Department at or phone and ask to speak with a recruiter.

To view more positions available please visit [YKHC Career Center )])

  • Medicaid Enrollment Specialist I

    10 hours ago

    Bethel, United States Yukon-Kuskokwim Health Corp. Full time

    Position Summary: Medicaid Prior Authorization Specialist I under normal supervision, assists in providing transportation/logistical assistance to Alaska Medicaid Recipients traveling to and from the Yukon Kuskokwim Health Corporation (YKHC) service area by determining if the burden of medical necessity has been met by documenting these findings in detail...

  • Medicaid Authorization Operations Lead

    2 weeks ago

    Bethel, Alaska, United States RPMGlobal Full time

    Position Overview: We are dedicated to achieving outstanding health outcomes. The Yukon-Kuskokwim Health Corporation is a Tribal health care organization committed to serving a diverse population across rural Alaska.About Us: Our organization provides a wide array of employment opportunities that allow you to make a significant impact on the health of the...

  • Medicaid Authorization Operations Lead

    2 weeks ago

    Bethel, Alaska, United States RPMGlobal Full time

    Position Overview: We are dedicated to enhancing health outcomes in our community. The Yukon-Kuskokwim Health Corporation is a prominent Tribal health organization committed to serving a diverse population across rural Alaska.About Us: With a focus on holistic health, we cater to nearly 30,000 individuals in various villages, providing essential services and...

  • Medicaid Services Specialist

    2 weeks ago

    Bethel, Alaska, United States Yukon-Kuskokwim Health Corp. Full time

    Position Overview:The Yukon-Kuskokwim Health Corporation is dedicated to enhancing the health of our community. We are a Tribal health care organization committed to serving a diverse population across rural Alaska.Role Summary:The Medicaid Services Specialist I operates under general supervision to facilitate transportation and logistical support for...

  • Medicaid Transportation Specialist

    2 weeks ago

    Bethel, Alaska, United States Yukon-Kuskokwim Health Corp. Full time

    Position Overview:The Yukon-Kuskokwim Health Corporation is dedicated to providing exceptional health services to the communities in rural Alaska. We are seeking a Medicaid Transportation Specialist to assist in the coordination of transportation services for Medicaid recipients.Key Responsibilities:Evaluate and confirm medical necessity for transportation...

  • Travel Authorization Specialist

    2 weeks ago

    Bethel, Alaska, United States Yukon-Kuskokwim Health Corporation Full time

    Transportation Authorization Support SpecialistAs a Transportation Authorization Support Specialist, you will be essential in facilitating departmental assistance in obtaining travel authorizations and associated services across diverse transportation modalities.Key Responsibilities:Assist in the processing of travel authorizationsProvide support for various...

  • Travel Authorization Specialist

    2 weeks ago

    Bethel, Alaska, United States Yukon-Kuskokwim Health Corporation Full time

    Transportation Authorization Support SpecialistAs a Transportation Authorization Support Specialist, you will be essential in facilitating departmental operations related to travel authorization and associated services across diverse transportation methods.Key Responsibilities:Assist in the acquisition of travel authorizationsProvide support for various...

  • Travel Authorization Specialist

    2 weeks ago

    Bethel, Alaska, United States Yukon-Kuskokwim Health Corporation Full time

    Transportation Authorization Support SpecialistAs a Transportation Authorization Support Specialist, you will be essential in delivering departmental assistance in securing travel authorizations and associated services across various transportation methods.Key Responsibilities:Facilitate the process of obtaining travel authorizationsProvide support for...

  • Travel Authorization Specialist

    2 weeks ago

    Bethel, Alaska, United States Yukon-Kuskokwim Health Corporation Full time

    Transportation Authorization Support SpecialistAs a Transportation Authorization Support Specialist, you will be essential in facilitating departmental assistance in obtaining travel authorizations and related services across various transportation methods.Key Responsibilities:Assist in the acquisition of travel authorizationsProvide support for various...

  • Travel Authorization Specialist

    2 weeks ago

    Bethel, Alaska, United States Yukon-Kuskokwim Health Corporation Full time

    Transportation Authorization Support SpecialistAs a vital member of our organization, the Transportation Authorization Support Specialist will be responsible for delivering essential support in securing travel authorizations and facilitating related services across various transportation methods.Key Responsibilities:Assist in the acquisition of travel...

  • Travel Authorization Specialist

    2 weeks ago

    Bethel, Alaska, United States Yukon-Kuskokwim Health Corporation Full time

    Transportation Authorization Support SpecialistAs a Transportation Authorization Support Specialist, you will be essential in facilitating departmental assistance in obtaining travel authorization and related services across various transportation methods.Key Responsibilities:Assist in the acquisition of travel authorizations for different transportation...

  • Transportation Authorization Specialist

    2 weeks ago

    Bethel, Alaska, United States Yukon-Kuskokwim Health Corporation Full time

    Job Title: Transportation Authorization Support Specialist at Yukon-Kuskokwim Health Corporation (YKHC)Company Overview: YKHC is dedicated to serving a diverse population in a vast region, focusing on health and wellness initiatives.Position Summary:- Deliver support for transportation authorization and related travel services across various modes of...

  • Transportation Authorization Specialist

    2 weeks ago

    Bethel, Alaska, United States Yukon-Kuskokwim Health Corporation Full time

    Job Title: Transportation Authorization Support Specialist at Yukon-Kuskokwim Health Corporation (YKHC)Company Overview: YKHC is dedicated to serving a diverse population in a vast region, providing essential health services to the Yup'ik Eskimo Native community.Position Summary:- Offer support for transportation authorization and related travel services...

  • Transportation Authorization Specialist

    2 weeks ago

    Bethel, Alaska, United States Yukon-Kuskokwim Health Corporation Full time

    Job Title: Transportation Authorization Support Specialist at Yukon-Kuskokwim Health Corporation (YKHC)Company Overview: YKHC is a healthcare organization dedicated to serving a diverse Native population in a vast region of Alaska.Position Summary:- Provide essential support for transportation authorization and related travel services across various modes of...

  • Transportation Authorization Specialist

    2 weeks ago

    Bethel, Alaska, United States Yukon-Kuskokwim Health Corporation Full time

    Job Title: Transportation Authorization Support Specialist at Yukon-Kuskokwim Health Corporation (YKHC)Company Overview: Yukon-Kuskokwim Health Corporation (YKHC) is dedicated to serving the Yup'ik Eskimo Native population in a vast region of Southwestern Alaska.Position Summary:- Offer support for transportation authorization and related services across...

  • Transportation Authorization Specialist

    1 week ago

    Bethel, Alaska, United States Yukon-Kuskokwim Health Corporation Full time

    Job Title: Transportation Authorization Support Specialist at Yukon-Kuskokwim Health Corporation (YKHC)Company Overview: YKHC is dedicated to serving a diverse Yup'ik Eskimo Native population in a vast region of Southwestern Alaska.Position Summary:- Provide essential support for transportation authorization and related travel services across various modes...

  • Transportation Authorization Specialist

    1 week ago

    Bethel, Alaska, United States Yukon-Kuskokwim Health Corporation Full time

    Job Title: Transportation Authorization Support Specialist at Yukon-Kuskokwim Health Corporation (YKHC)Company Overview: YKHC is dedicated to serving a diverse Yup'ik Eskimo Native population in a vast region of Southwestern Alaska.Position Summary:- Deliver essential support for transportation authorization and associated services across multiple travel...

  • BH Quality Assurance Specialist

    5 days ago

    Bethel, Alaska, United States Yukon-Kuskokwim Health Corporation Full time

    Job Summary: As a key member of the Yukon-Kuskokwim Health Corporation team, the BH Quality Assurance Specialist will play a vital role in ensuring the accuracy and compliance of clinical documentation, billing, and expenditures. This position will support the revenue cycle management, records, and registration functions to optimize ethical reimbursement for...

  • Client Support Specialist I

    1 week ago

    Bethel, Connecticut, United States Equiliem Full time

    Job OverviewPosition Title: Client Support Specialist ISchedule: Monday to Friday, 8:00 AM - 4:30 PMKey Responsibilities:Deliver exceptional support to clients by addressing their inquiries, resolving challenges, and fostering a positive experience.Respond swiftly to client inquiries through various channels including phone, email, or chat, maintaining a...

  • Third Party Recovery Specialist I

    3 months ago

    Bethel, United States Yukon-Kuskokwim Health Corporation Full time

    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...