Job summary
Patient Financial Services EDI Associate RemoteLocation: Remote in Phoenix, AZPrimary City/State: Arizona, Arizona
Job seniority: associate level
Responsibilities
• Monitors daily translation and transmission of electronic billing claims and printing of UB92, UB04, HCFA 1500 and CMS 1500 claim forms• Obtains and prepares and posts daily, weekly and monthly payment and adjustment transactions using the electronic posting program• Researches and evaluates third party claims company's edits and modifications with payer units• Researches, implements and tests new lines of electronic billing and posting• Utilizes multiple systems and/or programs to provide statistical data in support of issues list(s) provided to payers and internal customers/management• Maintains an accurate and low balance in claims billing system and General Ledger holding accounts• May provide training to other staff, provide feedback to improve processes, and work on special projects• Works independently under general supervision using specialized knowledge to solve technical problems for systems used in multiple locations• Acts as member of various enterprise EDI departments; processing an average of $18,000,000 per day
Requirements
• High school diploma or equivalent required• Requires knowledge normally evidenced by advanced education in accounting or information systems• Equivalent experience typically obtained through four or more years of work experience in a financial services or patient account management environment• Position requires expert analytical skills• Applicant must have the ability to test, document and implement new application programs over various hardware platforms• Requires the ability to analyze and effectively recognize system problems• Excellent follow through needed to resolve system application issues within a timely manner• Ability to gather and analyze data elements from automated systems to troubleshoot and resolve data or application errors• Must have the ability to plan and organize large data sets• Must have the ability to interact with Banner's Information Technology staff and guide them to technical solutions for system issues• Requires knowledge of medical terminology and an understanding of the laws associated with confidentiality, credits and collections• Effective communication skills, both verbal and written, and human relations skills are required
