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EDI Coordinator
Job Description
In this position you will provide administrative support for physician billing services as it relates to EDI transactions and practice management software administration. Responsibilities include:
- Respond to inquiries regarding EDI issues with claims, payments, and clearinghouse activities
- Monitor EDI transmissions and identify opportunities to improve relevant processes
- Responds to support requests for practice management software setting changes
- Diagnosis and resolve payor rejections
- Stay current on changes in requirements from insurance companies and clearinghouse to ensure prompt processing of claims
- Administration of practice management software includes but is not limited to new setups, EDI configuration, adding insurance carriers, adding referring doctors, electronic eligibility configuration, and claim scrubber plugin configuration
- Process daily EDI transactions
- Process daily patient statements
- Setup and support of insurance portal logins
- Process ERA enrollments
- Collaborate with the Provider Enrollment department to maintain physician fee schedules in accordance with established coding practices and governmental regulatory requirements
- Maintains the manual of procedures as it relates to EDI functions
- Completes other projects as assigned
Qualifications
- Knowledge of medical billing - CPT codes, ICD-10CM, and CMS 1500 forms
- Hands on knowledge of healthcare related EDI transactions (e.g. 835, 837)
- Knowledge of HIPAA confidentiality guidelines
- Strong attention to detail
- Ability to effectively use web-based applications and service portals
- Demonstrated analytical and problem solving skills
- Strong verbal and written communications skills
- Must be proficient with MS Office
- Ability to manage priorities and handle simultaneous demands
Preferred Experience
- Centricity Practice Solution
- Knowledge of radiation oncology coding
Location: Marietta, GA
Please contact: [email protected]
Posted : August 15, 2016 10:23 am