EDI Representative Onsite Houston, Texas

US Physical Therapy•Houston, TX

4d•Onsite

About The Position

USPh (U.S. Physical Therapy) is seeking an EDI Support Representative to provide support to the Electronic Data Interchange (EDI) department and its USPh therapy clinics. This role involves ensuring compliance with USPh policies and payor-specific guidelines. The position is based at the Corporate Office on the west side of Houston.

Requirements

High School Diploma or equivalent
A minimum of one (1) years’ experience in a medical billing and collection environment
Experience with Microsoft® Outlook and Excel software
Ability to effectively communicate verbally and in writing
Ability to multi-task with strong organizational and interpersonal skills
Ability to stay organized and to multi-task
Ability to read and comprehend simple instructions, short correspondence
Ability to effectively present information in one-on-one and small group situations
Ability 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.

Nice To Haves

Experience with ZirMed® Claims Clearinghouse software
Experience with Adobe Acrobat Pro® software
Experience with Track-It® Work Order software
Experience with Raintree® practice management software
Knowledge of ANSI Code Set as it applies to 837P and 837I healthcare billing
Microsoft® Word software

Responsibilities

Completes payor enrollment forms accurately and timely, with appropriate signatures.
Tracks each enrollment form to completion, following up with Payor as necessary.
Responds to telephone calls and/or emails in a timely manner.
Reviews ZirMed Medical Claims rejections on a USPh summary basis to highlight/report on Clinics that may have backlogs.
Answers the EDI Help Desk phone line, documenting, tracking, and monitoring support requests to ensure timely resolution.
Provides technical support to end users on straightforward issues related to ANSI 837P and 837I formats.
Identifies, researches, and resolves technical problems related to rejected claims.
Reports specific trends or issues to management.
Responds to management special project requests.
Provides coverage as needed for other departmental personnel.
Supports and maintains information security measures as appropriate, including maintaining the highest standards of confidentiality to protect patient privacy and company’s proprietary information.