EDI Biller

4 months ago


Camp Hill, United States Select Medical Full time

Overview

EDI Biller

Gran dview (Camp Hill)

Why work for Select?

We are committed to your growth and success

-Career Advancement opportunities 

-Competitive pay, benefits and PTO

-Eligible for referral bonuses

-Thorough orientation program

-Team oriented environment

The EDI Biller assures timely and accurate claim submission is being completed to appropriate parties to ensure the lowest possible days in accounts receivable, in a cost effective manner.

We offer an outstanding employee experience, full-time hours, full benefits, paid training, and advancement opportunities.

At our Grandview Campus, we’re all about having a great employee experience From our Wednesday food trucks to educational seminars to our annual Hershey Park trip, we want to help you connect with colleagues and enjoy being a part of the Select Medical family. Our team offers first shift, Monday through Friday schedules. This would include two fifteen minute breaks and one half-hour lunch. We allow for casual work attire, jeans are our norm

Responsibilities

Complete daily batching, scheduling and posting of claims according to the weekly schedule. Ensure appropriate charges are posted and incorrect/missing data is reversed accurately. Complete daily reports for the clinical field. Process paper and electronic insurance claims daily, weekly, or monthly, according to departmental schedule as specified for each type of insurance. Match same payer paper claims for bulk mailing. Obtain and process clinical documentation as required by the payer. Ensure documentation is sent with claims as required. Communicate attachment delays or problems to the Supervisor. Review electronic errors and rejection reports and resolve as appropriate. Required month end attendance for 1-3 days due to monthly special billing. Create daily EDI files and upload to correct clearinghouse. Work through outstanding rejections, incompletes, and holds within a 72-hour deadline. Submit claims in a timely and accurate manner while maintaining high productivity requirements. Contact clinics as necessary regarding missing or incorrect data required for billing, escalate as needed. Communicate delays or problems related to holds or requested information to the Supervisor. Complete paper claim billing with required attachments within the week. Maintain constant communication with clinic staff and management on any issues that are preventing claims from being billed. Trend outstanding claims to report potential system/clinic concerns. Communicate billing rejections and problem payor questions independently to Change Healthcare. Provide claim data/examples to provider representative and follow-up timely to ensure Stay up-to-date and organized with frequent billing changes and requirements. Perform any additional duties/projects as assigned by the supervisor. Supports the mission and direction of Select Medical Corporation both within the Central Business Office and throughout the corporation.

Qualifications

Required Qualifications:

High School Diploma or Equivalent.

Preferred Qualifications:

One year of experience in an office setting, medical environment preferred Computer skills, including Microsoft Office products, and familiarity with internet research Strong organization skills and the proven experience in the ability to problem solve. Adaptable, detail orientation and strong organization skills are preferred. Excellent verbal and written communication skills Able to work closely with others in a team setting Strong interpersonal communication skills Ability to manage time effectively to meet set deadlines Strong desire to build and develop career path

Additional Data

Select Medical strives to provide our employees with a solid work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.

An extensive and thorough paid orientation program. Paid Time Off (PTO) and Extended Illness Days (EID). Health, Dental, and Vision Insurance; Life insurance; Prescription coverage. A 401(k) retirement plan with company match. No Required Weekends

Working Conditions/Physical Demands:

Office Environment Sitting for extended periods of time Ability to lift weight up to 35 lbs. 

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, sexual orientation, gender identity, disability, or medical or veteran status in accordance with federal law. In addition, Select Medical complies with applicable state and local laws prohibiting discrimination in employment in every jurisdiction in which it maintains facilities