EDI Billing Specialist, Hosp
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Job Location:
Fort Worth, TX - USA
Monthly Salary:
Not Disclosed
Posted on:
2 hours ago
Vacancies:
1 Vacancy
Job Summary
Location:
Calmont Operations BuildingDepartment:
CBO/Patient Financial ServicesShift:
First Shift (United States of America)Standard Weekly Hours:
40Summary:
Under the leadership of Patient Financial Services (PFS) management the EDI Billing Specialist is responsible for timely and accurate billing of all claims for physician and/or hospital services and may include patient services identified as Special Billing including client clinical trials international purchased services occupational health solid organ and BMT services. Monitor direct or correct all unbilled and pending claim rejections. The EDI Billing Specialists objective is to develop coordinate implement and manage electronic claims rejections. Additionally the EDI Billing Specialist serves as the primary link between the business and all data-trading partners (client claims processing clearinghouse and other data providing or receiving partners); Day to day responsibilities include establishing contact with trading partners analyzing the data exchanged with any partners observing data records to record any errors and correcting any failures and staging the received data for billing operations use. Working with all levels of the organization to support accurate proper data exchanges within the organization.
Qualifications:
High School Diploma or equivalent required Bachelors preferred
Minimum three years relevant work experience in hospital billing/coding or healthcare business office experience
Must possess an advanced knowledge of various types of insurance plans
Understanding of Managed Care contracts denials and payor methodology
Must have thorough knowledge of billing invoicing practices such as CMS UB and EDI (Electronic Data Interchange)
Expert with clearinghouse rejections demographics and modifiers
Ability to work in fast paced deadline driven environment
Effective oral and written communication skills
Keyboarding accuracy and math aptitude skills
Medical terminology knowledge of insurance and reimbursement procedures preferred
Prior experience with Epic Hospital Billing Resolute preferred
About Us:
Cook Childrens Medical Center is the cornerstone of Cook Childrens and offers advanced technologies research and treatments surgery rehabilitation and ancillary services all designed to meet childrens needs.
Cook Childrens is an EOE/AA Minority/Female/Disability/Veteran employer.
Required Experience:
IC
Key Skills
- Medical Collection
- Accounts Receivable
- Athenahealth
- ICD-10
- Medical Coding
- 10 Key Calculator
- Detailing
- ICD-9
- Medical Billing
- Microsoft Excel
- CPT Coding
- Medicare
About Company
Whether it's parenting issues or treating the most complex pediatric medical conditions, Cook Children's is here, helping families navigate childhood every step of the way.
