What are the responsibilities and job description for the EDI Specialist HCH position at LHC Group?
Summary
Responsible for Revenue Cycle’s EDI Setups. These include web portal set up and maintenance, database maintenance, DDE Maintenance, liaison with vendor and working service now tickets.
Responsibilities
- Responsible for Revenue Cycle EDI setups. These include web portal set up and maintenance, database maintenance, DDE Maintenance, liaison with vendor and working service now tickets.
- Serve as the company expert for all web portals used by Revenue cycle.
- Maintain payor portal spreadsheet and users.
- Responds to all service now tickets in a timely (within 24 hours) and accurate manner maintaining customer satisfaction; resolves all customer requests, inquiries, and concerns in an expedient and respectful manner.
- Maintains accurate payor files for all commercial and governmental portals.
- Establish and maintain a strong professional rapport with our web portal payers and work with employees of all levels to support accurate, proper data exchange and problem-solving techniques.
- Maintain working knowledge of workflow, systems, and tools used in the department.
- Maintain daily lock box spreadsheets.
- Acts as the point person for incoming paper checks (Lock box) and credit card transactions.
- Maintain all of Revenue cycle email distribution listings.
- Set up and completes troubleshooting for all new Medicaid program for all states.
- Performs maintenance on a weekly basis for Waystar and eSolutions products.
- Identifies issues needing immediate attention that would hinder operations with claims, posting, remits, portals and communicate to your manager.
- Participates as requested in special projects.
- Problem solves independently before referring issues to the manager for resolution.
- Complies with department best practices.
- All other duties as assigned
Education and Experience
- Formal Education: High School education or equivalent.
- Knowledge of billing and payer claims requirements (commercial and government).
- Understanding of the revenue cycle workflow.
- Knowledge of governmental and commercial insurance billing requirements.
- Ability to effectively manage competing priorities, and a sense of urgency.
- Demonstrated ability to work independently, take initiative and be self-motivated.
- Strong communication skills, both verbal and written
- Solid Microsoft Office (Excel, Word, PowerPoint) skills.
- Ability to work in fast paced, deadline driven environment
- Possess excellent organizational and follow up skills, with a strong attention to detail.
- Two years' relevant work experience or education in healthcare billing/coding a preferred, but not required.
Company Overview LHC Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
At LHC Group we are proud to offer benefits that support your physical and emotional wellbeing. Review LHC Group's comprehensive benefits and perks: https://bit.ly/LHCGBenefits
LHC Group Inc Home Office a part of LHC Group family of providers – the preferred post-acute care partner for hospitals, physicians, and families nationwide. We deliver high-quality, cost-effective care that supports our patients when and where they need it. From our home health, hospice, and community-based services to inpatient care at our clinics and hospitals, our mission is to reach more patients and families with effective and efficient healthcare. More hospitals, physicians, and families choose LHC Group because we are united by a single shared purpose: It's all about helping people.