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Temporary Billing and Credentialing Specialist (Part-time)

Location, Job Title, Benefits

Rocky Vista University in Ivins, Utah has an immediate opening for a
Temporary/ Part time Billing and Credentialing Specialist.

Temporary position goes from August 1, 2021 - October 15, 2021

To be considered for this position applicants should submit a resume/cover letter and salary requirements.

:The salary of the finalist(s) selected for this role will be set based on a variety of factors, including but not limited to skill, knowledge, experience, education, and credentials.

The above salary range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.

RVU is an Equal Opportunity Employer.

Primary Purpose

This position is responsible for reviewing skilled nursing facility claims prior to submission to insurance companies, working with patients on account balances, follow up with insurance companies on unpaid claims. Assist Director with credentialing of physicians with various insurance companies to include governmental payers. Work with the nursing facility to gather patient information and input into EMR. This part-time position is for approximately 20 hours per week.

Essential Job Functions

  • Ensure all claims are submitted with a goal of minimal errors.
  • Verifies completeness and accuracy of all claims prior to submission.
  • Timely follow up on insurance claim denials, exceptions or exclusions.
  • Reading and interpreting insurance explanation of benefits.
  • Respond to inquiries from insurance companies, patients and providers timely.
  • Make necessary arrangements for medical records request, completion of additional information as requested by insurance companies.
  • Review patient claims and accounts and submit any necessary adjustment forms.
  • Review self-pay claims and adjust off any necessary balance after the 10% discount is given as soon as charges are posted and payment is applied.
  • Review claims aging monthly.
  • Produce monthly aging and revenue reports for the SUVH claims.
  • Review and work task box daily.
  • Review day end tasks to ensure all claims are billed out by month end.
  • Communicate any claims/billing issues or trends to management immediately.
  • Ability to multi-task.
  • Marginal Job Functions

  • Complete credentialing packets for various payers.
  • Initiate commercial contracting agreements.
  • Review insurance contracting agreements as needed.
  • Required Knowledge, Skills, and Abilities (Text Only)- Complete knowledge of medical terminology and outpatient insurance billing terms. - Experience in CPT and ICD-10 coding. - STRONG knowledge of billing and coding. - Outstanding interpersonal skills. - Outstanding organizational, verbal, listening, and written communications skills. - Analytical and problem solving skills. - Ability to enter in data accurately with attention to detail. - Strong computer skills and ability to learn a state of the art electronic medical records program. - Ability to work with confidential medical records and maintain HIPAA policies and procedures. - Ability to multi-task and problem solve innovatively. - Ability to work effectively in a team-based environment. - Demonstrated effective time management skills and ability to meet deadlines. - Willingness and ability to learn new skills as needed in the medical office environment. - Consistently demonstrate ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary. - Complete annual continuing medical education courses to ensure compliance and update to date knowledge on billing and coding.Minimum Qualifications

  • High School diploma
  • Administrative assistant or equivalent coursework or at least1 year of relevant experience equivelent education
  • Two years' experience in front medical office work or equivelent certifications
  • Two years' experience in billing and coding in a medical office setting or equivelent education (recently completed medical coding and billing training)
  • Preferred Qualifications

  • Previous experience with primary care medical office (family medicine, pediatrics or internal medicine)
  • Previous experience with electronic medical records.
  • Certified Coder and Biller
  • Final applicant will be required to pass background check and drug screening.

    Rocky Vista University, on the recommendation of the COVID-19 Response Team (CRT), will be implementing a mandatory vaccination policy for all employees and students effective July 1, 2021.

    Rocky Vista University is in full compliance with the Americans with Disabilities Act (ADA) and does not discriminate with regard to applicants or employees with disabilities, and will make reasonable accommodation when necessary.
    The following are essential abilities and physical requirements for all positions at the University.

    • Ability to orally communicate effectively with others;
    • Ability to communicate effectively in writing, using the English language;
    • Ability to work cooperatively with colleagues and supervisory staffs at all levels;
    • May be exposed to short, intermittent, and/or prolonged periods of sitting and/or standing in performance of job duties;
    • May be required to accomplish job duties using various types of equipment/supplies to include, but not limited to, pens, pencils, calculators, computer keyboards, telephone, etc.
    • May be required to transport oneself to other campus offices, conference rooms, and on occasion, to off-campus sites to attend meetings, conferences, workshops, seminars, etc.

    Temporary Billing and Credentialing Specialist (Part-time)

    Rocky Vista University
    Ivins, UT

    Published on 11/22/2021

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