Medical Billing- EDI Specialist

Change Healthcare North Charleston , SC 29418

Posted 2 weeks ago

Transforming the future of healthcare isn't something we take lightly. It takes teams of the best and the brightest, working together to make an impact.

As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities.

Here at Change Healthcare, we're using our influence to drive positive changes across the industry, and we want motivated and passionate people like you to help us continue to bring new and innovative ideas to life.

If you're ready to embrace your passion and do what you love with a company that's committed to supporting your future, then you belong at Change Healthcare.

Pursue purpose. Champion innovation. Earn trust. Be agile. Include all.

Empower Your Future. Make a Difference.

Medical Billing- EDI Specialist

Overview of Position

The Medical Billing EDI Specialist is responsible for working EDI transactions and ERA files, including reconciling carrier submissions, edits and rejection reports. This position is responsible for handling all correspondence related to an insurance or patient account, contacting insurance carriers, patients and other facilities as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability.

What will be my duties and responsibilities in this job?

  • Ability to research and resolve accounts appearing on Delinquent Insurance Report, Collection Ledger and Government Payor report as directed by management making appropriate decisions on accounts to be worked to maximize reimbursement

  • Follow up of outstanding A/R all payers and/or including self-pay and/or including resolution of denials as it relates to the clearinghouse

  • Meet productivity standards as outlined in client metrics

  • Identify any issues or trends and bring them to the attention of management team

  • Work on special projects as assigned

What are the requirements needed for this position?

  • 1+ years of work experience

  • Intermediate knowledge of MS Excel

  • Familiarity with health insurance web portals

  • Knowledge of the A/R process

  • High school diploma or equivalent work experience

What other skills/experience would be helpful to have?

  • Healthcare and / or insurance billing, processing or customer service preferred

  • Working with EDI transactions is a plus

  • Organized

  • Detail oriented

  • Ability to multi-task

  • Work well with others

What are the working conditions and physical requirements of this job?

  • This position is work from home due to COVID. Employees may eventually be asked to return to the office.

Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

Equal Opportunity/Affirmative Action Statement

Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.

If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.com with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.

Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.

Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.

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Medical Billing- EDI Specialist

Change Healthcare