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EDI Specialist

Company: WebPT Inc
Location: Upland
Posted on: February 22, 2021

Job Description:

As a WebPT EDI Specialist, you will work with a cross functional team to assist our Members with the WebPT Billing Service onboarding process, which includes insurance enrollment, EMR setup, and billing systems integration. At WebPT, we like to hire the most talented people for our teams, and then give them the freedom to do their jobs. Here, we work hard, but we have lots of fun doing it.-- Responsibilities

  • Complete and submit EDI and ERA enrollment forms on behalf of WebPT Billing Service members.
  • Forward EDI and ERA enrollment forms and instructions to WebPT members and set reasonable expectations for approvals.
  • Track all enrollment related items in CRM and ticketing systems.
  • Edit the incomplete constants report for missing NPI numbers and any other request from company employees and clients.
  • Provide status updates to WebPT members and internal teams regarding approvals.
  • Review EMR and billing system data and identify potential consistency issues.
  • Audit claims to identify and resolve any system configuration or enrollment issues.
  • Provide support to the Billing Service Team by adding providers and payers, resolving data mapping issues, and making billing software configuration changes.
  • Assist providers with enrolling and updating Provider Source and CAQH.
  • Reliable and punctual in reporting for work and taking designated breaks. Abilities and Knowledge
    • Understand the ins and outs of EDI/ERA enrollments.
    • Ability to work with spreadsheets (i.e., create, maintain, and work with Excel, Google+, and OpenOffice files).
    • Effectively manage projects. We have multiple initiatives going at once, and we need someone who can not only juggle them, but see them all through, on deadline.
    • Be organized, ahead of schedule, communicative, and accountable. In short, own your role entirely, while being open to critiques, suggestions, and new ideas. Education and Experience Required:
      • One year of experience working with medical billing systems or claims processing or a combination of experience and schooling.
      • Knowledge of EDI/ERA enrollments.
      • Proven experience with HIPAA compliance and medical terminology. Preferred:
        • SaaS industry experience Attendance and Punctuality-- Being punctual, reliable and consistent is key to WebPT's success. To function at a high level, you are expected to be reliable and punctual for work and take designated breaks as set by your leader. Working Conditions WebPT will make reasonable accommodations to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee will not be exposed to weather conditions, and the noise level is usually moderate. Remote positions require a HIPAA compliant environment. Your work environment must be accessible to a consistent and adequate internet connection per WebPT guidelines. A controlled and dedicated work space will be necessary to be successful. Physical Requirements WebPT will make reasonable accommodations to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee may occasionally need to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; or taste or smell. The employee must occasionally lift and/or move up to 25 pounds. This job requires specific vision abilities, including close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. EEO Statement WebPT, Inc. provides equal opportunity for all applicants without regard to race, color, religion, sex (including pregnancy), national origin, ancestry, age, genetic information, marital status, sexual orientation, veteran status, or any other basis protected by state or federal law. Qualifications Skills Required HIPAA Intermediate Medical Billing Intermediate Experience Required 1 year: Experience working with medical billing systems or claims processing or a combination of experience and schooling

Keywords: WebPT Inc, Upland , EDI Specialist, Other , Upland, California

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