EDI Representative

Responsibilities

• Work closely with patients to resolve billing and payment issues.
• Research and resolve discrepancies in patient accounts.
• Process payments and refunds.
• Review and update patient insurance information.
• Communicate with insurance companies to obtain prior authorizations and verify coverage.
• Follow up on unpaid claims and denials.
• Maintain accurate and up-to-date patient account information.
• Provide excellent customer service to patients and healthcare providers.
• Collaborate with other departments to improve processes and ensure timely reimbursement.
• Maintain knowledge of current insurance regulations and coding requirements.

Qualifications

• A high school diploma or equivalent required; an associate's or bachelor's degree preferred.
• 1-2 years of experience in medical billing and collections.
• Knowledge of medical billing and coding, insurance regulations, and healthcare reimbursement policies.
• Strong attention to detail and ability to work independently.
• Excellent communication and customer service skills.
• Proficiency in Microsoft Office, Waystar, Japari, and other computer programs.

Benefits

• Competitive compensation.
• Front Office Monthly Incentive based on meeting metrics.
• Excellent benefits package including 401(k), health, dental, and generous paid time off.
• Multiple opportunities for professional development, specialization, and leadership.
• Employee discount plans.
• Employee Assistance Program (EAP).
• Investment from a company that wants you to succeed and thrive.