Top 27 Prior authorization specialist Jobs in Alaska

Purchased and Referred Care Authorization Specialist
Kodiak Area Native Association —Kodiak, AK
- $20.22 - $30.32 an hour
- Full-time
- HIPAA
- Mid-level
- Office
- Paid parental leave
- AD&D insurance
Quick Apply
Prior Authorization Specialist II - Medicaid Prior Authorization
Alaska Native Tribal Health Consortium —Anchorage, AK
- $22.56 - $28.21 an hour
- Full-time
- Computer literacy
- Writing skills
- HIPAA
- Paid parental leave
- AD&D insurance
Quick Apply
9d
Prior Authorization Specialist I
Alaska Native Tribal Health Consortium —Anchorage, AK
- $21.09 - $25.88 an hour
- Full-time
- Computer literacy
- Writing skills
- HIPAA
- Paid parental leave
- AD&D insurance
Quick Apply
9d
Medical Billing Specialist
Mat-Su Surgical Associates, APC —Wasilla, AK
- From $25 an hour
- Full-time
- Private practice
- Surgery
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
2d
Medical Billing and Coding Specialist
Mat-Su Surgical Associates, APC —Wasilla, AK
- From $26 an hour
- Full-time
- Private practice
- Anatomy knowledge
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
Medicaid Enrollment Specialist l
Yukon-Kuskokwim Health Corporation —Bethel, AK
- From $21.78 an hour
- Full-time
- Computer literacy
- Writing skills
- HIPAA
- Paid holidays
- Disability insurance
Reimbursement & Billing Specialist - NOT REMOTE
Peninsula Community Health Services of Alaska —Soldotna, AK
- Full-time
- Background check
- Computer literacy
- Pass drug screening
- Dental insurance
Surgery Center of Wasilla - Business Office Specialist
Regent Surgical —Wasilla, AK
- Full-time
- BLS Certification
- HIPAA
- Administrative experience
Quick Apply
Dental Patient Coordinator
SouthEast Alaska Regional Health Consortium —Sitka, AK
- $26.06 - $36.08 an hour
- Full-time
- Dental office
- BLS Certification
- Mid-level
- Paid parental leave
- Disability insurance
Quick Apply
Relief Administrative Assistant I / II
Maniilaq Association —Kivalina, AK
- Part-time
- Computer literacy
- Administrative experience
- High school diploma or GED
Relief Workforce Development Coordinator
Maniilaq Association —Kotzebue, AK
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
Administrative Assistant
Denali Healthcare Specialist —Anchorage, AK
- $16 - $22 an hour
- Full-time
- High school diploma or GED
- Computer skills
- Medical terminology
Quick Apply
Revenue Cycle Technician
Southcentral Foundation —Anchorage, AK
- $20.69 - $26.89 an hour
- Mid-level
- Finance
- Administrative experience
Quick Apply
Dental Billing Specialist
Interior Community Health Center —Fairbanks, AK
- $24 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Analysis skills
Quick Apply
Care Coordination Assistant
Seldovia Village Tribe IRA —Homer, AK
- $22 - $24 an hour
- Full-time
- Mid-level
- Office
- Children
- Paid holidays
- Disability insurance
Quick Apply
Lead Patient Access Representative
SouthEast Alaska Regional Health Consortium —Juneau, AK
- $25.00 - $33.71 an hour
- Full-time
- Microsoft Excel
- Ability to walk for extended periods
- Computer literacy
- Paid parental leave
- Disability insurance
Quick Apply
4d
Program Support Specialist
Access Alaska —Soldotna, AK
- $21.21 - $23.07 an hour
- Full-time
- Background check
- Mid-level
- Office
Quick Apply
Patient Registration Specialist - Lead
SouthEast Alaska Regional Health Consortium —Juneau, AK
- $25.00 - $33.71 an hour
- Full-time
- Microsoft Excel
- Ability to walk for extended periods
- Computer literacy
- Paid parental leave
- Disability insurance
Quick Apply
4d
Admissions Services Specialist Acute-PRN
United States —United States
- PRN
- Nursing
- Addiction Medicine
- RN License
11d

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Purchased and Referred Care Authorization Specialist

Kodiak Area Native Association -
Kodiak, AK

Quick Apply

Job Details

Full-time
$20.22 - $30.32 an hour

Benefits

Paid parental leave
AD&D insurance
Paid holidays
Loan repayment program
Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Parental leave
Employee assistance program
Vision insurance
Gym membership
Opportunities for advancement
Life insurance

Qualifications

HIPAA compliance
HIPAA
Medical terminology
Office experience

Full Job Description

Kodiak Area Native Association (KANA) is a Tribal health organization committed to elevating the lives of the people we serve. At KANA, employees are more than staff members; they are part of a mission-driven team focused on meaningful work, community impact, and long-term growth.

Benefits & Perks

401(k) retirement plan with a 7% employer contribution beginning in year two, paid regardless of employee contribution
Paid Parental Leave
80% employer-paid medical, dental, and vision coverage
Access to 20+ medical plan options through federal OPM benefits
Employer-paid life insurance at 2.5x annual salary
AD&D, short-term, and long-term disability coverage
Generous paid time off and 13 paid holidays
Free gym membership to the KANA Wellness Center
Employee Assistance Program (EAP)
Tuition assistance and reimbursement programs
Leadership development and internal advancement opportunities
Eligibility for IHS and NHSC loan repayment programs (role dependent)
Potential temporary housing assistance for relocating employees, based on availability

Position Overview

The Purchased and Referred Care (PRC) Authorization Specialist reviews, processes, and documents referrals and related claims to determine patient eligibility and funding for referred care services. This role ensures compliance with PRC policies, healthcare regulations, and payer requirements while maintaining accurate records in Cerner. The specialist collaborates with internal teams and external partners to support patient access to care and appropriate use of healthcare resources.

Key Responsibilities

Review referrals to determine PRC eligibility, funding criteria, and medical necessity for referred services
Utilize Cerner to verify service needs, referral locations, patient eligibility, and required documentation; conduct research as needed to confirm eligibility
Process referrals in accordance with PRC policies, healthcare regulations, and organizational procedures
Follow Finance requirements for purchasing and payment processing to ensure accurate and timely transactions
Identify and document alternate insurance coverage and ensure appropriate billing prior to KANA, consistent with payer-of-last-resort guidelines
Apply limits to requisitions, including dates of service, number of visits, and visit values
Prepare denial documentation when applicable and upload approval or denial letters into Cerner, ensuring proper attachment to referrals
Reassign completed referrals with full documentation to the Referred Care Coordinator for next steps
Accurately document all eligibility determinations and decisions within patient records in Cerner
Communicate with Patient Benefit Coordinators regarding uninsured patients and eligibility options
Support organizational mission, patient-centered care principles, and quality standards in all daily activities
Demonstrate KANA's core values of Courtesy, Caring, Respect, Sharing, and Pride in all work interactions
Uphold KANA's Code of Ethics by maintaining professionalism, integrity, and confidentiality in all responsibilities
Participate in ongoing training related to PRC, medical billing, coding, and healthcare compliance
Occasional travel may be required

Qualifications

High school diploma or general education degree (GED) and two years of experience working with the public in an office setting; or an equivalent combination of education and experience
Familiarity with federal, state, and local resources available to meet patient health and social service needs preferred
Knowledge of medical billing procedures, medical terminology, HIPAA, and applicable healthcare regulations required

Work Schedule

KANA's standard work schedule is 37.5 working hours per week, consisting of 7.5 paid working hours per day plus a one-hour unpaid lunch break (8.5 hours on site per day). This position may require occasional schedule flexibility based on operational needs.

Our Values

KANA's work is guided by Courtesy, Caring, Respect, Sharing, and Pride. We seek team members who embody these values in how they serve patients, collaborate with colleagues, and support the community.

Life In Kodiak

Located on beautiful Kodiak Island, this role offers the opportunity to build meaningful community connections while experiencing Alaska's unique coastal lifestyle, outdoor recreation, and close-knit community.

Quick Apply

Refine Your Search

prior authorization specialist jobs in alaska

Purchased and Referred Care Authorization Specialist

Prior Authorization Specialist II - Medicaid Prior Authorization

Prior Authorization Specialist I

Medical Billing Specialist

Medical Billing and Coding Specialist

Medicaid Enrollment Specialist l

Reimbursement & Billing Specialist - NOT REMOTE

Surgery Center of Wasilla - Business Office Specialist

Dental Patient Coordinator

Relief Administrative Assistant I / II

Relief Workforce Development Coordinator

Administrative Assistant

Revenue Cycle Technician

Dental Billing Specialist

Care Coordination Assistant

Lead Patient Access Representative

Program Support Specialist

Patient Registration Specialist - Lead

Admissions Services Specialist Acute-PRN

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