About this role
We are searching for an individual who wants to join our exciting company as a EDI Support Representative. The Individual will be responsible for providing support to the Electronic Data Interchange (EDI) department and our USPh therapy clinics in accordance with USPh policies and payor specific guidelines. This position is based out our Corporate Office on the West side of Houston.
Essential Duties and Responsibilities include the following:
PRIMARY RESPONSIBILITIES
Completes payor enrollment forms accurately and timely, with appropriate signaturesTracks each enrollment form to completion, following up with Payor as necessaryResponds to telephone calls and/or emails in a timely mannerReviews ZirMed Medical Claims rejections on a USPh summary basis to highlight/report on Clinics that may have backlogsAnswering the EDI Help Desk phone line, making sure to document, track and monitor support requests to ensure a timely resolutionProvide technical support to end users on any straightforward issues related to ANSI 837P and 837I formatsIdentify, research and resolve technical problems related to rejected claimsReports to management any specific trends or issuesOTHER RESPONSIBILITIES
Responds to management special project requestsProvides coverage as needed for other departmental personnelSupports and maintains information security measures as appropriate to the position, including maintaining the highest standards of confidentiality to protect patient privacy and company’s proprietary information Education and/or Experience:
REQUIRED:
High School Diploma or equivalentA minimum of one (1) years’ experience in a medical billing and collection environmentExperience with Microsoft® Outlook and Excel softwareAbility to effectively communicate verbally and in writingAbility to multi task with strong organizational and interpersonal skillsAbility to stay organized and to multi taskAbility to read and comprehend simple instructions, short correspondenceAbility to effectively present information in one-on-one and small group situationsAbility to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.Medical payment processing.Ability to apply common sense understanding to carry out written or oral instructions.Ability to deal with problems involving a few concrete variables in standardized situations.PREFERRED:
Experience with ZirMed® Claims Clearinghouse softwareExperience with Adobe Acrobat Pro® softwareExperience with Track-It® Work Order softwareExperience with Raintree® practice management softwareKnowledge of ANSI Code Set as it applies to 837P and 837I healthcare billingMicrosoft® Word software What You’ll Get:
Competitive compensation and bonus.Comprehensive benefits.Generous paid time off with holidays.Continuous mentoring to further your career path.Great close-knit team environment. We work hard, but we have fun!