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Job Details

Insurance Billing Enrollment u0026 Credentialing Coordinator

Company name
Fraser School

Richfield, MN, United States

Employment Type

Insurance, Healthcare, Administrative, Disability, Education

Posted on
Jan 07,2019

Valid Through
Apr 22,2019


\u003cp\u003eThe\u0026nbsp;Insurance Billing, Enrollment \u0026amp; Credentialing Coordinator Role at Fraser is critical to ensure both the client and clinician needs are being met.\u0026nbsp;The key\u0026nbsp;responsibility of this position is\u0026nbsp;performing timely and accurate claiming and follow up activities on patient accounts.\u003c/p\u003e
\u003cp\u003e\u003cstrong\u003eA typical day may include:\u003c/strong\u003e\u003c/p\u003e
\u003cli\u003eFollow defined procedures to create and transmit clean claims to clearinghouse\u003c/li\u003e
\u003cli\u003eProcess daily deposit receipts, print EOB\u0026rsquo;s and complete deposit spreadsheet daily\u003c/li\u003e
\u003cli\u003eEnsure accurate and current insurance information is entered in\u0026nbsp;Electronic Health Records System\u003c/li\u003e
\u003cli\u003eInform clinicians and other appropriate revenue cycle team members of insurance changes and/or need for updated insurance information\u003c/li\u003e
\u003cli\u003eAddress and follow up on items on the third party billing suspense report weekly, edit claims that are suspending and notify clinicians or appropriate revenue cycle team members of suspending claims prior to submission to clearinghouse\u003c/li\u003e
\u003cli\u003eEnsure all services are claimed to primary insurance within expected timeframe or notify the supervisor of identified issues\u003c/li\u003e
\u003cli\u003eResearch errors in claim processing and denied claims and follow up with insurance companies, clearinghouses (and families when necessary)\u003c/li\u003e
\u003cli\u003eProcess enrollment applications for both government and commercial health plans, and manage the ongoing participation requirements of the plans for all practitioners enrolled\u003c/li\u003e
\u003cli\u003ePopulate, maintain, and update the credentialing software including accountability for the integrity of information they enter into the database\u003c/li\u003e
\u003cli\u003eAccess external databases to obtain primary source documents necessary to complete the applications according to organizational policy\u003c/li\u003e
\u003cli\u003eCollaborate with other revenue cycle team members to identify and resolve issues\u003c/li\u003e
\u003cli\u003eParticipate in Performance Quality Improvement (PQI) efforts to improve the process of claiming\u003c/li\u003e
\u003cli\u003eProvide accurate, professional and timely communication to applicable revenue cycle team members\u003c/li\u003e
\u003cli\u003eAssist with month end procedures and year end audit\u003c/li\u003e
\u003cli\u003ePerform tasks/projects to support other revenue cycle operations as needed.\u003c/li\u003e
\u003cli\u003eBA/BS/AAS in related field such as medical coding/billing, accounting or health information preferred; OR equivalent educational and experience required\u003c/li\u003e
\u003cli\u003eExtensive Experience with medical billing and submitting claims (at least 2-3 years)\u003c/li\u003e
\u003cli\u003eAbility to follow up on claims, check and solve rejections, resubmit claims\u003c/li\u003e
\u003cli\u003eExperience with insurance carriers including Medicaid, ICD -10, CPT codes, modifiers\u003c/li\u003e
\u003cli\u003eUnderstanding the EOP-Explanation of Payments, Coordination of Benefits, Insurance Priorities\u003c/li\u003e
\u003cli\u003ePrevious experience with Mental Health Services billing preferred\u003c/li\u003e
\u003cli\u003eExcellent organizational skills and attention to detail\u003c/li\u003e
\u003cli\u003eAbility to participate collaboratively in performance quality improvement (PQI) activities related to processing claims\u003c/li\u003e
\u003cli\u003eComputer proficiency using Outlook, Word and Excel with proficiency in keyboarding skills\u003c/li\u003e
\u003cli\u003eAbility to pass DHS background check\u003c/li\u003e
\u003cli\u003eRichfield Corporate Office\u003c/li\u003e
\u003cp\u003e\u003cstrong\u003eFraser Offers:\u003c/strong\u003e\u003c/p\u003e
\u003cli\u003eFlexible schedule for this position\u003c/li\u003e
\u003cli\u003eCareer growth opportunities\u003c/li\u003e
\u003cli\u003eOpportunities for community involvement in Fraser organized events\u003c/li\u003e
\u003cli\u003eWork-life balance is important; Fraser offers generous paid time off to those employed full time\u003c/li\u003e
\u003cli\u003eMedical, Dental, and Vision insurance\u003c/li\u003e
\u003cli\u003e403(b) retirement account with Fraser contribution\u003c/li\u003e
\u003cli\u003eChildcare discount at Fraser School\u003c/li\u003e
\u003cli\u003eReferral bonuses\u003c/li\u003e
\u003cli\u003eVerizon Wireless cell phone plan and accessories discount\u003c/li\u003e
\u003cp\u003e\u003cem\u003e\u003cspan\u003eFraser is an Affirmative Action and Equal Opportunity Employer.\u003c/span\u003e\u003c/em\u003e\u003c/p\u003e
\u003cp\u003e\u003cem\u003e\u003cspan\u003eThis position will be posted at\u0026nbsp;\u003ca href=\u0022\u0022 target=\u0022_blank\u0022 rel=\u0022noopener noreferrer\u0022\\u003c/a\u003e\u0026nbsp;until filled. You must apply online here to be formally considered.\u003c/span\u003e\u003c/em\u003e\u003c/p\u003e
\u003cp\u003e\u003cspan\u003eIf you are having trouble applying or have questions, please contact Fraser HR at\u0026nbsp;\u003ca href=\\u0022 target=\u0022_blank\u0022 rel=\u0022noopener noreferrer\u0022\\u003c/a\u003e\u0026nbsp;or 612.767.7550. If you have successfully submitted your application, you will get a confirmation email. If you do not receive the confirmation email, please check your junk/spam folders, then contact us as we may not have received your application. Thank you for considering Fraser!\u003c/span\u003e\u003c/p\u003e

Company info

Fraser School
Website :

Company Profile
Welcome to the About Our School section of this website. These pages are geared towards providing the information you need to know about how our school operates, what our educational focus is as well as what makes us unique. Select from the left sidebar or drop down menus to read more.

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