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.
Under the direction of the Director of Purchased/Referred Care (PRC), the Medical Claims Specialist is primarily responsible for timely and accurately processing/payment of medical claims into the PRC claims processing package while providing excellent customer service to claimants and vendors. Maintains good vendor relations, works closely and follow-ups with accounts payable while maintaining compliance with all Federal, State, Tribal Health, and SEARHC PRC guidelines and regulations.
Must work independently making judgment calls when supervisor is not available. Position requires the ability to sit for long periods of time in front of a computer terminal. Mental fatigue exists with high level of concentration necessary to properly process medical claims for payment accurately and timely. The employee must be able to work under stressful conditions. The PRC office maintains a copies of each individual patient record as required by law and SEARHC policy and this position ensures that requirement is met. May occasionally encounter verbal abuse from customers or family members
Knowledge, Skills & Abilities: