Webpt
Location
Secunderabad | India
Job description
Identify, analyze, and manage all EDI functions.
Train staff on how to complete all tasks assigned, such as: EDI and ERA enrollments, claim rejections and database set up.
Assist with creating and maintaining electronic ANSI and paper claim formats.
Establish and maintain the necessary billing and tracking systems to maximize first pass claim acceptance.
Coordinate, assign, audit, and supervise work with all EDI staff assigned to ensure productivity standards and goals are consistently met.
Review and analyze past due tasks with EDI staff weekly.
Establish and maintain productive relationships with key resources including Managers as well as external vendors.
Acts as first level of support for internal and external escalated issues. Document outcomes and track completion of activities.
Work with EDI manager to determine the level of automation possible and the necessary personnel to achieve collection goals and quality benchmarks.
Oversee monthly EDI reporting requirements.
Supervise staff. Supervision duties to include: performance management, Coaching, training and development, work flow planning and disciplinary actions, periodic 1 on 1 with team, Provide constructive feedback.
Implement and maintain department compliances with new and existing policies and procedures.
Ensure timely completion of month end duties.
Reliable and punctual in reporting for work and taking designated break
Have knowledge of ICD-10 and CPT codes as well as insurance guidelines especially Medicare and Medicaid.
Strong knowledge of ANSI guidelines and EDI/ERA enrollment processes.
Knowledge of Payer rules and regulations.
Demonstrate ability in managing projects with multi-disciplinary teams, with exceptional relationship-building skills.
Ability to effectively speak with providers, employees, and all levels of staff within the company.
Strong work ethic, well-spoken and professional.
Be organized, ahead of schedule, communicative, and accountable. In short, own your role entirely, while being open to criticism, suggestions, and new ideas.
Strong attention to detail and keep a constant eye out for opportunities to improve efficiency.
Be passionate about customer service. You love helping people, and you constantly strive to deliver great solutions.
Have knowledge or experience with rehab therapy community and the day-to-day operations of a large PT, OT, or SLP clinic.
Work well in difficult situations.
Proficiency in Microsoft Office and various medical billing systems. Intermediate to advanced Excel skills
Knowledge of Payer Portals
5+ years of experience in a RCM, at least 2 years in Billing operations.
At-least 1 year as a Team Lead
Proficiency in Microsoft Office and various medical billing systems. Intermediate to advanced Excel skills required.
Graduate from Recognized university
Job tags
Salary
