RethinkFirst
Rethink First is a global health technology company providing cloud-based treatment tools, training and clinical support
EDI Enrollment Specialist – Medical Billing
Medical Billing and CodingMedical Billing and CodingFull TimeRemoteTeam 51-200H1B No SponsorCompany SiteLinkedIn
Location
Alabama + 18 moreAll locations: Alabama, Arizona, California, Colorado, Florida, Idaho, Illinois, Iowa, Nebraska, New York, North Carolina, Ohio, Missouri, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia
Posted
56 days ago
Salary
Not specified
Bachelor Degree2 yrs expEnglish
Job Description
• Responsible for electronic data interchange (EDI) processes related to Behavioral Health/Medical billing enrollment ensuring the accuracy of data during the submission process
• Prepare and submit applications to configure Electronic Data Interchange (EDI) claims and Electronic Remittance Advice (ERA) through clearinghouse and other payer portals
• Prepare and submit applications to configure Electronic Funds Transfer (EFT) with payers
• Review all payments being received to identify all payers that EDI, ERA and EFT can be processed through our clearinghouse
• Communicate with our clearinghouse on any enrollment issues
• Review provider enrollment denials and errors with payers to resolve denial issue in a timely manner
• Partner with the Billing Implementation team and Director, RCM Operations to enroll new payers/providers to resolve enrollment tasks
• Maintain accurate enrollment records and provide updates to Management and Clients as needed
• Document and maintain process workflows, systems configuration, and tools used in the department
• Adhere to and follow all HIPAA guidelines
• Assigned special projects as needed
Job Requirements
- At least 2 years of experience in revenue cycle management (for medical billing or behavioral health billing)
- Experience with EDI enrollment including the enrollment of payers with clearing houses such as Availity, Waystar and Stedi
- Familiar with EDI file formats (such as 834 transactions)
- Experience with EDI software and systems are essential
- Experience with CredentialStream is a plus
- Self-starter comfortable working with Clients and Vendors to resolve issues in a timely manner
- Excellent oral and written communication skills
- Effective at multitasking and can demonstrate the ability to work with multiple clients at the same time
Benefits
- PTO and Vacation Days after a 90-day introductory period
- Paid Holidays
- Generous Health, Dental & Vision benefits package
- 401k + Matching