What are the responsibilities and job description for the Revenue Cycle EDI Enrollment and Payment Research Analyst (Remote) position at Envision Header?
Envision Radiology is adding a Remote Revenue Cycle EDI Enrollment and Payment Research Analyst to the team!
Monday - Friday 8:00AM - 5:00PM MST | Position Pay Range $56,500 - $70,600
Summary/Objective:
The Revenue Cycle EDI Enrollment and Payment Research Analyst will be responsible for facilitating and managing provider enrollments for all new and existing payers and centers. This position is responsible for researching and identifying trends and patterns with missing payments and overseeing vendor management for all EFT/ERA enrollment submissions.
Essential Functions
1. Develops, coordinates, implements, and manages all payer/EDI-related processes.
2. Oversees EFT and ERA enrollment for all locations and all payors. Initiates and completes New Center setups.
3. Manages reporting and processes to redirect paper mail to lockbox and/or convert to ERA and EFT/ACH.
4. Enhances Enrollment Processes by continuously seeking ways to improve payer enrollment workflows.
5. Collaborates with cross-functional teams to identify areas for optimization and implements strategies that streamline processes.
6. Participates in cross-functional teams and projects aimed at optimizing revenue cycle operations and improving financial outcomes.
7. Analyzes payment data, billing records, and patient accounts to identify missing or unapplied payments. Ensures third party payers are enrolled in ACH and electronic remittance advice wherever possible
8. Identifies trends and issues related to missing and/or unapplied cash posting and provide recommendations to leadership for resolution.
9. Manages Monthly Unidentified Cash Accounts. Reviews and researches all payments until resolved.
10. Assists with research through payor websites as applicable to new or existing payor contracts.
11. Provides ad hoc analysis at leadership request.
12. Other duties as assigned.
Competencies
1. Strong analytical, organizational, and problem-solving skills.
2. Detail oriented.
3. Ethical Conduct.
4. Thoroughness.
5. Collaboration Skills.
6. Time Management.
Supervisory Responsibilities
This job does not have any supervisory duties.
Work Environment
This job operates remotely and must adhere to the work at home requirements.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to use hands and fingers to handle, feel or operate objects, tools or controls, and reach with hands and arms. The employee is frequently required to talk and hear.
Travel
No travel is expected for this position.
Job Qualifications
Minimum Qualifications/Experience:
• 3 years of experience working in EDI and Healthcare Revenue Management or Revenue Cycle Management, with a focus on healthcare remittance processing and enrollments
• 5 years of experience with billing, collections, and/or revenue cycle
• Working knowledge with various payer systems and enrollment processes (ERA vs. ACH/EFT)
• Proficiency in healthcare billing software, practice management systems, and EDI tools.
• Experience working with claims clearinghouse vendors and implementing EDI solutions within a healthcare organization.
• Strong analytical skills and attention to detail, with the ability to troubleshoot and resolve EDI-related issues.
• Cash posting and reconciliation experience
• High levels of proficiency with MS Office applications
Education/Certifications:
• Bachelors Degree in Healthcare Management, Business, Project Management, or a related area of Healthcare or 5 years equivalent education, training and experience.
Additional Eligibility Qualifications
None required for this position.
Compliance
Adheres to Envision’s Code of Conduct and Compliance Policies and attends annual Compliance training as set forth by the Company.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Other duties may be assigned as needed by supervision.
Company Benefits
Below is a list of benefits that are offered to employees, once eligibility is met.
• Health Benefits: Medical/Dental/Vision/Life Insurance
• Company Matched 401k Plan
• Employee Stock Ownership Plan
• Paid Time Off Paid Holidays
• Employee Assistance Program
OSHA Exposure Rating: 1
It is reasonably anticipated NO employees in this job classification will have occupational exposure to blood and other potentially infectious body fluids.
Envision Radiology is an equal opportunity employer (M/F/D/V). We recruit, employ, train, compensate and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, veteran status, or any other basis protected by application federal, state or local law.
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
Salary : $56,500 - $70,600
