Front End EDI Coordinator
About The Position
Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, RadNet is Leading Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of RadNet’s success is its people with the commitment to a better healthcare experience. When you join RadNet as our Front End EDI Coordinator, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators achieve the best clinical outcomes. JOB SUMMARY The Front End Coordinator is responsible for research and processing of payor and clearinghouse rejections stemming from electronically filed medical claims to insurance companies that are unable to bill until rejection is resolved. Work involves researching and resolving the rejection type, requiring updates within the clearinghouse as well as the patient accounting system. Effective resolution of clearinghouse rejections allows the medical claim to successfully file to the insurance company for processing. Rejections are time-sensitive and must be resolved according to payor requirements to ensure timely payment of medical claims. Applications extensively utilized for this purpose are Availity, Imagine, eRAD, IDX, Excel, various payor links and hospital systems.
Requirements
- Strong attention to detail.
- Analytical and problem-solving skills to analyze issue to determine resolution and maximize efficiency.
- Microsoft Office experience with strength in Excel.
- Excellent organizational skills.
- Type and 10-key skills.
Nice To Haves
- Prior AR follow-up/medical billing experience desired.
- Demonstrated teamwork and leadership skills.
- Ability to deal with change.
- Demonstrate a positive attitude towards continuous improvement.
- Able to respond appropriately even in challenging situations.
- Able to positively motivate others.
Responsibilities
- Research and processing of payor and clearinghouse rejections stemming from electronically filed medical claims to insurance companies that are unable to bill until rejection is resolved.
- Researching and resolving the rejection type, requiring updates within the clearinghouse as well as the patient accounting system.
- Ensuring effective resolution of clearinghouse rejections allows the medical claim to successfully file to the insurance company for processing.
- Resolving rejections according to payor requirements to ensure timely payment of medical claims.
- Ability to efficiently work in a fast-paced environment with a high volume of medical claims with proven ability to work with multiple practices and tasks.
- Communicates, cooperates, and consistently functions professionally and harmoniously with all levels of supervision, coworkers, patients, visitors, and vendors.
- Demonstrates initiative, personal awareness, professionalism, and integrity, and exercises confidentiality in all areas of performance.
- Follows all local, state, and federal laws concerning employment including but not limited to: I-9, Harassment, EEOC, Civil rights, and ADA.
- Follows OSHA regulations, RadNet, and site protocols, policies, and procedures.
- Follows HIPAA, compliance, privacy, safety, and confidentiality standards at all times.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
