Strategic Sourcing Specialist jobs in Ketchikan, AK

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AUTHORIZATION SPECIALIST
  • SouthEast Alaska Regional Health Consortium
  • Juneau, AK FULL_TIME
  • About Us:

    SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.

     

    Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health, dental, and vision benefits, life insurance and long and short-term disability, and more.

    Job Overview:

    The Authorization Specialist works with payers and SEARHC clinical staff to obtain initial and ongoing authorizations for patient services, verifies insurance benefits for each patient, and obtain authorizations for patients in accordance with the payer-provider contracts. The Authorization Specialist is responsible for tracking and correcting all pertinent insurance information in the electronic medical record. Authorization Specialist expected to maintain strong working relationships with payers, SEARHC billing staff, and all other interdepartmental staff, and provide excellent customer service. This position is critical for reimbursement of costs relating to high dollar procedures and services provided to our patients.

    Responsibilities:

    Key Essential Functions and Accountabilities of the Job• Knows, understands, incorporates, and demonstrates the Mission, Core Values, and Vision in behaviors, practices, policies, and decisions.• Maintains collaborative, team relationships with peers and colleagues to contribute to the working group’s achievement of goals effectively, and to help foster a positive work environment. • Protects confidentiality/privacy in verbal, written, and electronic forms of communication or information sharing. • Raises concerns in an appropriate manner and according to policy. • Consistently exhibits behavior and communication skills that demonstrate SEARHC’s commitment to superior customer service, including quality, care, and concern with each and every internal and external customer. • Accurately captures and records inbound and outbound authorizations for patients and/or referring physician’s offices. • Carries out due diligence to obtain authorizations from various insurance carriers via phone, in writing or email. • Processes authorization-related denials and coordinates the appeal process with the appropriate Revenue Cycle staff members and clinical team. • Work closely with the Financial Counselors and Patient Access team to ensure coverage is current and documented appropriately in the record. • Ensures efficient documentation of information for insurance verification, registration and billing requirements and follows-up as needed. • Responds to inquiries regarding status of authorization(s) by assessing the request and evaluating the circumstances to provide the needed information. • Demonstrates superior customer service to all external and internal customers. • Communicates effectively with patients, physicians, and/or other departments regarding delays or issues relating to authorizations and patient appointments. • Meets team metric standards and expectations consistently. • Maintains strict confidentiality at all times. • Identifies compliance/ethics issues and brings forth recommendations for operational improvement. • Ensures successful adherence to policies, procedures and changes to the organization. • Complete and support additional patient access related activities as assigned.

     

    Other Functions• Other duties as assigned.

    Qualifications:

    Education, Certifications, and Licenses Required• High School Diploma or equivalent – required

     

    Experience Required• Two years of professional level work environment. • 1 year working in the health care field *or* 6 months education in a health care related field. can be substituted

     

    Knowledge, Skills, and Abilities

     

    Knowledge of:• Understanding and/or willing to learn tribal health programs and alternate resources• Knowledge and demonstrated use of customer service principles• Knowledge of data entry, retrieval, and reporting• Medical Terminology or CPT or procedure codes; alternatively, contains the willingness to learn • General office functions, office equipment, and computer applications

     

    Skills in:• Effective oral and written communication skills• Skills in using a database• Skills in operating a computer utilizing a variety of software applications• Working independently and as a team • Good interpersonal, verbal, and written communication • Strong attention to detail Ability to:• Ability to multi-task and work independently in a fast paced environment• Ability to respond quickly in urgent situations with attention to detail• Ability to problem solve and use conflict resolution skills• Prioritize work in multi-task in a fast-paced office setting with many interruptions • Self-start and willingness to learn • Read and comprehend simple instructions, short correspondence, and memos • Demonstrate time-management, organizational, and customer service skills • Work flexible hours with limited unplanned absence • Handle difficult customer situations in a positive manner • Interact with external healthcare professionals in a variety of settings • Effectively prioritize multiple ongoing tasks and responsibilities under pressure at a steady pace in an unpredictable environment • Maintain a professional demeanor with physician and clinical team when addressing concerns regarding imaging orders/diagnoses

     

    Computer Skills:

    • Proficient in Microsoft Office Products including Word, Excel• Database applications

  • 22 Days Ago

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Procurement Specialist
  • State of Alaska
  • Juneau, AK FULL_TIME
  • JOB The Office of the Governor, Division of Administrative Services, is looking for a Procurement Specialist to join our team!What you will be doing: This position has wide and varying duties so you w...
  • 22 Days Ago

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Parts specialist
  • O'Reilly Auto Parts
  • Juneau, AK FULL_TIME
  • The Parts Specialist will provide all retail and installer customers with a high level of service. This position will also support store management in the accomplishment of assigned tasks. ESSENTIAL J...
  • 23 Days Ago

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Merchandising specialist
  • SAS Retail Services
  • Juneau, AK FULL_TIME
  • Join our dynamic team as a Merchandising & Product Demonstration Specialist! In this multifaceted role, you'll excel in merchandising, sales, and product demonstrations. We seek a candidate adept at f...
  • 23 Days Ago

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Marketing specialist
  • Mediabistro
  • Juneau, AK FULL_TIME
  • Wolters Kluwer Email Marketing Specialist (Healthcare) - USA Remote Juneau , Alaska Apply Now In this remote-friendly position, the Email Marketing Specialist will use their Marketing Automation and C...
  • 23 Days Ago

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Administrative Specialist
  • State of Alaska
  • Anchorage, AK FULL_TIME
  • The Administrative Specialist performs the primary administrative and clerical functions in support of the general operations of the Corporation and assigned investments teams. The responsibilities of...
  • Just Posted

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0 Strategic Sourcing Specialist jobs found in Ketchikan, AK area

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Temporary Assistant Harbormaster
  • City of Ketchikan, AK
  • Ketchikan, AK
  • TEMPORARY ASSISTANT HARBORMASTER (2 Positions) for the City of Ketchikan Port & Harbors Department. Temporary, full-time...
  • 3/28/2024 12:00:00 AM

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Postal Mail Processor-No experience required
  • The Postal Service
  • Ketchikan, AK
  • POSTAL CLERK NO EXPERIENCE REQUIRED PAID TRAINING PROVIDED JOB SECURITY The Postal Service is the largest government rel...
  • 3/28/2024 12:00:00 AM

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Postal Clerk
  • The Postal Service
  • Ketchikan, AK
  • POSTAL CLERK NO EXPERIENCE REQUIRED PAID TRAINING PROVIDED JOB SECURITY The Postal Service is the largest government rel...
  • 3/28/2024 12:00:00 AM

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Guidance Counselor
  • Alaska Teacher Placement
  • Ketchikan, AK
  • Position Type: Student Support Services/Guidance Counselor Date Posted: 2/8/2024 Location: Ketchikan High School Date Av...
  • 3/28/2024 12:00:00 AM

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Full Time Nanny and Housekeeper
  • Care
  • Ketchikan, AK
  • Responsibilities Duties include light housekeeping such as maintaining common areas, unloading dishwasher, kids laundry
  • 3/28/2024 12:00:00 AM

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Independent Insurance Claims Adjuster in Ketchikan, Alaska
  • MileHigh Adjusters Houston Inc
  • Ketchikan, AK
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
  • 3/28/2024 12:00:00 AM

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Engineering Manager (Seasonal April - September)
  • The Ketch Inn & Marina
  • Ketchikan, AK
  • Compensation Type: Yearly Highgate Hotels: Highgate is a premier real estate investment and hospitality management compa...
  • 3/28/2024 12:00:00 AM

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Driver Guide
  • Cape Fox Corporation
  • Ketchikan, AK
  • Job Title Driver Guide Job Description We are searching for friendly and entertaining individuals to join the Cape Fox T...
  • 3/24/2024 12:00:00 AM

Ketchikan's GPS geographic coordinates are latitude 55.342 (slightly south of both Copenhagen, Denmark at 55.676 and Glasgow, Scotland at 55.864) and longitude -131.648. The city is located in southernmost Southeast Alaska on Revillagigedo Island, 700 miles (1,100 km) northwest of Seattle, Washington, 235 miles (378 km) southeast of Juneau, Alaska, and 88 miles (142 km) northwest of Prince Rupert, B.C., Canada. It is surrounded by the Tongass National Forest, which is managed by the United States Forest Service from its headquarters in the Ketchikan Federal Building downtown, and to the south...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Strategic Sourcing Specialist jobs
$98,066 to $132,779
Ketchikan, Alaska area prices
were up 2.8% from a year ago

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