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

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