Payment Recovery Specialist jobs in Alaska

MISSION STATEMENT:
As a leading Alaska drug and alcohol treatment center, True North Recovery Inc. is on mission
to provide our community with client centered, culturally competent behavioral health treatment
with same day access to services through: Evidence-based best practices, partnerships, and
authentic community-based recovery support services for alcohol addiction, drug addiction, and
treatment for other addictive lifestyles.

We work to foster a safe and supportive environment for peer-centered education, services and
engagement. Our programs and partnerships open pathways to recovery by removing social
barriers and creating opportunities for those seeking and maintaining long-term recovery.

JOB DESCRIPTION TITLE: Quality Assurance Specialist
REPORTS TO: Director of Administration
EMPLOYMENT STATUS: Full-time
CLASSIFICATION: Hourly
LOCATION: All locations
FLSA STATUS: Non-exempt

GENERAL FUNCTIONS:

The Quality Assurance Specialist oversees various areas of billing and documentation for compliance to contractual obligations with various mandates and State laws, rules, regulations, sub-contractual agreements, HIIPA, Medicaid, agency policy and procedures to provide training and feedback to service delivery staff on areas of needed correction/ improvement. Additionally, the Quality Assurance Specialist will work collaboratively with supervisors and management staff to ensure the accuracy and quality of client documentation, client services, records and documentation within the agency.

DUTIES AND RESPONSIBILITIES:

• Responsible for the review and content compliance of all documentation submitted to the SUD client record, including, but not limited to: intake documents, assessments, client treatment plans, progress notes, change of diagnoses, outcome measures, collateral documents, and correspondence.
• Ensures that the “Golden Thread” of medical necessity is documented within the client record in accordance with TNR and State policy and procedures.
• Answer telephone inquiries and/or refer to appropriate staff, return messages
• Data Entry intake packet into AKAIMS
• Acquire service Authorization through the Medicaid site
• Enter in Authorization in AKAIMS
• Create paper and electronic records for all clients
• Maintain inactive files keeping them in proper order, shredding any unnecessary documents
• Assist program manager, specialists, and executive director in any proofreading, data entry, clerical work as requested
• Use general office equipment such as copy machines, printers, and facsimile machines
• Maintaining confidentially according to regulations and policy
• Perform all other duties as assigned

JOB SPECIFICATIONS:

• Must have computer skills, including spreadsheet, word processing and publishing programs
• Excellent written and verbal communication skills with good vocabulary, spelling, and proofreading skills
• Strong research skills
• Strong customer service and interpersonal skills
• Demonstrated ability to work independently and with limited supervision
• Demonstrated ability to coordinate multiple activities

MINIMUM QUALIFICATIONS:

• High School Diploma or GED
• Minimum 6 months experience in administrative support or clerical field
• Experience with Microsoft applications and basic computer programs
• Lived experience with addiction and be in recovery

PREFERRED QUALIFICATIONS:

• Prior experience in customer service
• Prior experience with AKAIMS electronic health records system

Disclaimer
The information above has been designed to indicate the general nature of duties within this job.
Management has sole discretion to add or modify duties of the job and to designate other
functions as essential at any time. This job description is not an employment agreement or
contract.