About The Position

Billing EDI Analyst - (HIPPA transcastions) REMOTE This role works with payers to ensure member eligibility is correct, up to date and loaded in the system. Depending on the area of work the Billing EDI Analyst may also confirm payers are routed to the correct endpoints or work with patient estimates. Responsibilities: Verify payer member rosters are loaded in the internal database accurately Provide support for issues sent to mailbox Ensure payers are routed to correct endpoints Identify problems and trends within established timeframes to determine and communicate impact Proactively research, troubleshoot, and follow up to ensure inquires and problems are resolved in a timely manner Proactively find roadblocks and propose solutions to overcome them Interact and collaborate with team members at all levels, including senior management Initiates contact with and pursues resolution from internal and external resources Provide customer service and follow-up for both internal and external stakeholders Extract and validate information from multiple system sources and tools Ability to handle multiple projects simultaneously Will work independently, as well as in a team environment Build and cultivate strong working relationships over the phone and through email Support internal department projects and functional areas Maintain accurate and up to date documents such as logs, reports, spreadsheets Develop process/documentation material that is easily understood by end users (SOPs) Participate in projects, meetings, and training activities

Requirements

  • Minimum High School Diploma or equivalent required; Associate degree or higher preferred
  • Minimum three years previous Healthcare/Billing EDI work experience required
  • Technical knowledge of HIPAA transactions: 837, 270/271, 277CA, 999, 834, strongly preferred
  • Previous work experience with Labcorp system Phoenix strongly preferred
  • Previous work with data driven analytical tools or same skills strongly preferred
  • Intermediate to Advanced Microsoft Office skills (Excel, PowerPoint, Word, Access)
  • Flexibility and the capacity to manage and adapt to changing priorities quickly
  • Strong attention to detail and time management
  • Problem-solving and organizational skills
  • Excellent oral and written communication

Responsibilities

  • Verify payer member rosters are loaded in the internal database accurately
  • Provide support for issues sent to mailbox
  • Ensure payers are routed to correct endpoints
  • Identify problems and trends within established timeframes to determine and communicate impact
  • Proactively research, troubleshoot, and follow up to ensure inquires and problems are resolved in a timely manner
  • Proactively find roadblocks and propose solutions to overcome them
  • Interact and collaborate with team members at all levels, including senior management
  • Initiates contact with and pursues resolution from internal and external resources
  • Provide customer service and follow-up for both internal and external stakeholders
  • Extract and validate information from multiple system sources and tools
  • Ability to handle multiple projects simultaneously
  • Will work independently, as well as in a team environment
  • Build and cultivate strong working relationships over the phone and through email
  • Support internal department projects and functional areas
  • Maintain accurate and up to date documents such as logs, reports, spreadsheets
  • Develop process/documentation material that is easily understood by end users (SOPs)
  • Participate in projects, meetings, and training activities

Benefits

  • Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan.
  • Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only.
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