EDI Representative

This is a fully remote position, open to applicants in Texas.

📋 Description

• Collaborate closely with patients to address billing and payment concerns.

• Investigate and resolve inconsistencies in patient accounts.

• Manage the processing of payments and refunds.

• Review and update patient insurance details.

• Liaise with insurance companies to secure prior authorizations and confirm coverage.

• Follow up on outstanding claims and denials.

• Ensure accurate and current maintenance of patient account records.

• Deliver outstanding customer service to patients and healthcare professionals.

• Work together with other departments to enhance processes and facilitate prompt reimbursement.

• Stay informed on current insurance regulations and coding standards.

⛳️ Requirements

• High school diploma or equivalent is a must; Associate's or Bachelor's degree is preferred.

• 1-2 years of experience in medical billing and collections is required.

• Familiarity with medical billing and coding, insurance regulations, and healthcare reimbursement practices.

• Strong attention to detail and the ability to work autonomously.

• Exceptional communication and customer service abilities.

• Proficient in Microsoft Office, Waystar, Japari, and other relevant software programs.

🏝️ Benefits

• Competitive salary.

• Monthly Front Office Incentive based on performance metrics.

• Comprehensive benefits package including 401k, health, dental, and generous paid time off.

• Numerous opportunities for professional growth, specialization, and leadership.

• Employee discount programs.

• Employee Assistance Program (EAP).

• Support from a company committed to your success and well-being.