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EDI Representative, Enrollment Specialist, Billing Specialist

Company: UNAVAILABLE
Location: Houston
Posted on: February 16, 2020

Job Description:

OverviewPosition:-- EDI Enrollment SpecialistLocation:-- Houston Texas (Westchase District)-- -- -- -- -- -- -- -- -- -- -- -- -- -- -- ----Years Experience Required: 1 yearEmployment Type:-- Full-TimeBenefits: Competitive benefits package which includes medical, dental, vision, generous paid time off, 401k and moreBusiness: Outpatient Therapy Company--U.S. Physical Therapy, Inc. ("USPh"), which was founded in 1990, is the largest publicly-traded, pure-play operator of outpatient physical and occupational therapy clinics, with over 560 clinics in 41 states. The clinics provide pre- and post-operative care for a variety of orthopedic-related disorders and sports-related injuries, rehabilitation of injured workers and preventative care.--We are searching for an individual who wants--to join our exciting company as an--Enrollment Specialist. This position is based out our Corporate Office on the Westchase area of Houston.----Summary:-- The Enrollment Specialist will be an expert at ensuring that the electronic data exchanged between systems is accurate to ensure prompt reimbursement from various payors. Previous experience as a senior biller, patient account representative, with an outstanding customer service attitude would be an asset in this position.--Essential Duties and Responsibilities include the following, other duties may be assigned:--

  • Visits payor websites and completes online EFT and ERA enrollment forms accurately and timely, with appropriate signatures
  • Tracks each enrollment form to completion on Microsoft Excel, following up with payor as necessary
  • Responds to payor and clinic telephone calls and/or emails in a timely manner
  • Troubleshoots batches uploaded by clinics and provides timely solutions and feedback
  • Review and research claim denials, and rejections, communicates to Clinics on any backlogs
  • Answers the EDI Help Desk phone line, making sure to document, track and monitor support requests to ensure a timely resolution; provides technical support to end users on any issues related to ANSI 837P and 837I billing forms
  • Identify, research and resolve technical problems related to denied and rejected claims
  • Reports to management any specific trends or issues
  • Responds to management special project requests
  • Provides coverage as needed for other departmental personnel
  • Supports and maintains information security measures as appropriate to the position, including HIPAA rules and USPh standards of confidentialityThe above cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform.Education and/or Experience:--
    • High School Diploma or equivalent, required
    • A minimum of one (1) years experience in a medical billing and collection environment (i.e. Customer Service Representative with a Payor, Enrollment Specialist, Patient Account Representative, or Biller), required
    • Experience with ZirMed Claims or Waystar Clearinghouse software
    • Experience with Track-It Work Order software or equivalent
    • Experience with Raintree practice management software
    • Knowledge of ANSI Code Set as it applies to 837P and 837I healthcare billing
    • Proficiency in Microsoft Office (with a strong working knowledge of Excel) is required
    • Must be authorized to work in the United StatesOther Qualifications: ----
      • Strong interpersonal skills in a multi-team environment required
      • Effectively communicate verbally and in writing
      • Multi task with strong organizational and interpersonal skills
      • Organized and able to multi task
      • Strong problem-solving skills
      • Customer service oriented
      • Must read and comprehend simple instructions, short correspondence
      • Able to effectively present information in one-on-one and small group situations
      • Excellent analytical skills--Physical Demands: This job operates in a professional office environment. This role routinely uses standard office equipment. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to sit; stand; walk; use hands to finger, handle or feel; and reach with hands and arms. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. --Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Keywords: UNAVAILABLE, Houston , EDI Representative, Enrollment Specialist, Billing Specialist, Accounting, Auditing , Houston, Texas

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