Student Veterans of America Jobs

The Payor Contracting/Pricing Transparency Coordinator will work directly with the Revenue Cycle Director to assist in all duties associated with payor contracting.   The coordinator will assist in the implementation, maintenance, and support of pricing transparency software and initiatives.   The coordinator will be the subject matter expert on regulations related to the Pricing Transparency and No Surprises Act regulations.    

Job Duties

• The contract specialist with perform duties to track, organize, and process documentation and activities related to the organization's contractual arrangements

• Conduct credentialing required by Payor contracts for all non-government payers, working within the limits of standard or accepted practice

• Track and organize documentation about contractual arrangements for Uintah Basin Healthcare.

• Provide support for contract renewals and related departmental communication with the Director of Payer Contracting and business sponsors

• Review and analyze contract requirements to ensure completeness and note any compliance requirements

• The contract specialist will communicate with the Director and departments regarding compliance requirements, and provide awareness of audit requirements

• Provide support related to arrangements and schedules for audits

• Process and track credentialing activities related to Payor contracts, including non-government enrollments and revalidations

• Assist other team members in processing and track new Medicare and Medicaid enrollments as required or requested and work with Business Sponsor representatives and team to communicate the progress of the enrollment process

• Update internal documents with changes and new enrollments

• Implement, maintain, and oversee contract management reimbursement analysis software.

• Implement, maintain, and oversee patient estimate software

• Implement, maintain, and oversee price transparency files, tools, and compliance. 

• All other duties as assigned

Job Requirements:

Knowledge, Skills, Abilities

• Ability to work well in a team setting
• Self-starter
• Highly motivated
• Strong analytical and investigational skills
• Strong abilities in written and verbal communication
• Acute attention to detail
• General computer skills
• Intermediate or better Google Sheets/Excel knowledge
• Working knowledge of CPT, ICD-10, HCPCs, and revenue codes is preferred.

Education

• Associate or Bachelor's degree in finance, business, economics, healthcare management, or closely related field preferred
• Applicants without a degree but with experience in a similar position may be considered

Experience

• Previous experience in a healthcare business, revenue cycle,  or clinical setting