EDI Billing Analyst II

Responsibilities

• List the core tasks and responsibilities associated with the role.
• Leads complex projects and issue resolution efforts
• Trains and mentors Billing EDI Analysts
• Liaison with payers and vendors as well as reimbursement analysts and Payer Solutions members
• Education of colleagues to ensure successful transmission of required billing data
• Conduct detailed data analysis of submissions issues and defects while using multiple sources to identify resolution
• Prompt pursuit and escalation as appropriate of payer/vendor issues with claim submission success
• Determine appropriate test cases required for evidence of successful transmission of billing data; requires understanding of payer/vendor specific business and platforms
• Review 837 files and payer response files (TA1, 999, 277 and proprietary) to validate quality and appropriate outcomes of EDI transmission
• Convey updates to management and business stakeholders on issues and project status
• Maintain payer and vendor confidence in Labcorp and staff
• Support colleagues when there are scheduling conflicts
• Determine and communicate solutions to roadblocks
• Interact and collaborate with team members at all levels, including senior management
• Able to handle multiple projects simultaneously
• Will work independently, as well as in a team environment
• Build and cultivate strong working relationships over the phone and through email
• Support internal department projects and functional areas
• Maintain accurate and up to date documents such as logs, reports, spreadsheets
• Develop process/documentation material that is easily understood by end users (SOPs)
• Participate in projects, meetings, and training activities

Requirements

Minimum Education And Experience Required:

• Bachelor’s degree with 5 years relevant experience

Preferred Qualifications:

• More than 5 years of billing or EDI experience preferred
• Knowledge of 837, 999, TA1, 277 files
• Knowledge of medical billing
• Mentoring/Training experience

Skills And Competencies

• Excellent interpersonal and communication skills, both oral and written
• Intermediate to Advanced Microsoft Office skills (Excel, PowerPoint, Word, Access)
• Ability to communicate complex procedures clearly and concisely
• Strong analytical and problem-solving skills to evaluate, recommend and develop processes
• Flexibility and the capacity to manage and adapt to changing priorities quickly
• Strong attention to detail and time management
• Problem-solving and organizational skills
• Excellent customer service with ability to maintain composure and respond thoughtfully, quickly and professionally to unexpected client or vendor questions, concerns and issues