Job Description
We are searching for an individual who wants to join our exciting company as a EDI Support Representative. The Individual will be responsible for providing support to the Electronic Data Interchange (EDI) department and our USPh therapy clinics in accordance with USPh policies and payor specific guidelines. This position is based out our Corporate Office on the West side of Houston.
Essential Duties and Responsibilities include the following:
PRIMARY RESPONSIBILITIES
- Completes payor enrollment forms accurately and timely, with appropriate signatures
- Tracks each enrollment form to completion, following up with Payor as necessary
- Responds to telephone calls and/or emails in a timely manner
- Reviews ZirMed Claims rejections on a USPh summary basis to highlight/report on Clinics that may have backlogs
- Answering the EDI Help Desk phone line, making sure to document, track and monitor support requests to ensure a timely resolution
- Provide technical support to end users on any straightforward issues related to ANSI 837P and 837I formats
- Identify, research and resolve technical problems related to rejected claims
- Reports to management any specific trends or issues
OTHER RESPONSIBILITIES
- Responds to management special project requests
- Provides coverage as needed for other departmental personnel
- Supports and maintains information security measures as appropriate to the position, including maintaining the highest standards of confidentiality to protect patient privacy and company’s proprietary information