Yukon-Kuskokwim Health Corporation

Position Description

Third Party Recovery Lead

Bethel, Alaska

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:

The Third Party Recovery Lead brings with them a long professional history of patient access, billing, account resolution, denial management, and collections experience. Oversees and is responsible for the activities of all junior level Recovery Specialists. Creates and reports team scorecards and is responsible for ensuring Team hits target metric goals. Responsible for accurate and timely filing of healthcare claims. Responsible for all actions required in resolving account balances. Candidate 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. In addition this individual has supervisory responsibilities for all junior level Recovery Specialists assigned to workforce team. This individual is the primary escalation point for all operational issues prior to the supervisor or manager.

Position Qualifications:

• Bachelor’s Degree required. Degree requirement can be waived on a year for year basis for a combination of education and experience.
• Ten (10) years’ experience in health care reimbursement. Five (5) years’ customer service experience. Two (2) years’ experience with Indian Health Services (IHS) tribal business office functions. Experience managing the collections, denials, and reimbursement of complex lines of business such as Long Term Care, Inpatient, Ambulatory Surgery, or Behavioral Health.
• AAHAM CRCS-I/-P required or must be obtained within one (1) year of employment. CPC Preferred. AMBA Medical Billing Certification Preferred. HFMA CRCR Preferred.
• CPC Preferred
• Experience using office machinery including printers, photocopiers, fax machines, and multi-line phone systems.
• 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 CMS 1500 & 1450 claim forms. Teamwork is required. Must be able to work in conjunction with others in department to ensure that required common goals are met.
• Supervises Assigned Team members workload, productivity, attendance, KRONOS Time & Attendance, Team Scorecards, Reports, and Other Admin as assigned

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!

C#

Additional Information:

ID:

18162

Location:

Bethel

Department:

Revenue Management

Employment Duration:

80 Full time

Temporary Status:

Not Applicable

Hours per Week:

40

Minimum Hourly Pay:

28.56

FLSA Status:

Non-exempt

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. 93-638, preference is given to Alaska Native/American Indian applicants.

For more information, please contact the YKHC Recruitment Department at YKHCRecruitment@YKHC.org or phone (907) 543-6060 and ask to speak with a recruiter.

To view more positions available please visit YKHC Career Center (https://chu.tbe.taleo.net/chu01/ats/careers/v2/jobSearch?org=YKHC&cws=41)