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 (www.ykhc.org)
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 through the appropriate computer systems.
Level 1 employees perform work under close supervision, may only perform simple or routine aspects of the position, and generally require a good deal of instruction and/or training. Senior lead employees perform high level, complex and responsible tasks within this position and generally work with minimum supervision and follow-up from their supervisor.
The following duties are intended to provide a representative summary of the major duties and responsibilities and ARE NOT intended to serve as a comprehensive list of all duties listed and may be required to perform additional, position-specific duties.
REPRESENTATIVE DUTIES
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