Patient Account Associate II EDI Coordinator

Intermountain Health•Jacobus, PA

1d•$24 - $37•Onsite

About The Position

Job Description: Creates and optimizes EDI connectivity for ERAs, completes and monitors enrollments, manages and maintains payer portals. Essential Functions Develops and implements strategies for adhering to commercial and Government requirements of emerging payment techniques and various payor portal access requirements, not limited to: development of procedures, assessing and communicating reporting and documentation. Establishing processes for the Intermountain system in complying with payor requirements Serves as a subject matter expert for commercial payor requirements and mechanisms for alternative payment methods. Accountable for understanding and communicating the related commercial and regulatory programs payment techniques and portal access requirements. Acts as a technical resource related to portal access and functionality for operational management and staff. Manages and maintains all tickets related to government and commercial payor portals across the organization. Acts as a subject matter expert for the RSC as it relates to EDI enrollments to obtain remittance advice. Acts as a liaison between the organization and vendors, and internal and external partners. Collaborates with interdepartmental leadership and vendors to implement streamlined workflows, training and communication. Supports leadership in coordinating with clearinghouse vendors and works to obtain electronic payments where the clearinghouse contracts are not in place. Creates and provides monitoring and trending reports to the Cash Management Leadership teams. Utilizes reporting to partner with internal and external partners and provide suggested solutions for identified trends Research errors identified by payor payments being sent in means other than EFT/ERA or via clearinghouse. Achieve and maintain electronic payment activity at 100% or as payors allow. Works with clearinghouse to enroll payors and resolve payment/system issues. Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards. Performs other duties as assigned

Requirements

Written and Verbal Communication
Detail Oriented
EDI Enrollment
Teamwork and Collaboration
Ethics
Data Analysis
People Management
Time Management
Problem Solving
Reporting
Process Improvements
Conflict Resolution
Revenue Cycle Management (RCM)
High school diploma or equivalent required
Two (2) years for back-end Revenue Cycle (payor enrollment, payment posting, billing, follow-up)

Nice To Haves

Associate degree in related field preferred

Responsibilities

Creates and optimizes EDI connectivity for ERAs
Completes and monitors enrollments
Manages and maintains payer portals
Develops and implements strategies for adhering to commercial and Government requirements of emerging payment techniques and various payor portal access requirements
Serves as a subject matter expert for commercial payor requirements and mechanisms for alternative payment methods
Accountable for understanding and communicating the related commercial and regulatory programs payment techniques and portal access requirements
Acts as a technical resource related to portal access and functionality for operational management and staff
Manages and maintains all tickets related to government and commercial payor portals across the organization
Acts as a subject matter expert for the RSC as it relates to EDI enrollments to obtain remittance advice
Acts as a liaison between the organization and vendors, and internal and external partners
Collaborates with interdepartmental leadership and vendors to implement streamlined workflows, training and communication
Supports leadership in coordinating with clearinghouse vendors and works to obtain electronic payments where the clearinghouse contracts are not in place
Creates and provides monitoring and trending reports to the Cash Management Leadership teams
Utilizes reporting to partner with internal and external partners and provide suggested solutions for identified trends
Research errors identified by payor payments being sent in means other than EFT/ERA or via clearinghouse
Achieve and maintain electronic payment activity at 100% or as payors allow
Works with clearinghouse to enroll payors and resolve payment/system issues
Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards
Performs other duties as assigned

Benefits

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Intermountain Health is an equal opportunity employer.
Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment.

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