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 general direction of the PFS Manager, performs a wide range of duties involving the analysis of accounts denied by insurance carriers. Identifies issues resulting in the denial of claims. Takes corrective action to facilitate the re-billing and/or appeal of claims and the subsequent reimbursement. Accurately analyzes and resolves any issues created throughout the verification, billing and follow up process. Serves as the primary feedback mechanism to determine if pre-registration and registration policies and procedures are being adhered to. Works closely with managed care organizations, third party payors and internal staff, to ensure compliance to individual contract requirements in order to expedite reimbursement of accounts and protect the consortium from unnecessary financial loss.
Knowledge, Skills & Abilities