What are the responsibilities and job description for the EDI Specialist - HCHB position at LHC Group?
Summary
We are hiring for an EDI Specialist!
LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve, it truly is all about helping people.
We strive to offer benefits that reward the whole you!
- employee wellness programs
- flexibility for true work-life balance
- holidays & paid time off
- continuing education & career growth opportunities
- company-wide support & resources to help you achieve your goals
Take your career to a new level of caring. Apply today!
Responsibilities
- Responsible for Revenue Cycle's EDI setup's. These include provider enrollments, database maintenance, web portal maintenance; DDE and Submitter ID set up/maintenance, liaison with vendor, test electronic files as needed and working help desk tickets
- Responds to all position related Help Desk 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
- Responsible for timely completion of all EDI – ERA – EFT forms to include documentation and follow-up processes through to completion and approval with all payors
- Maintains accurate payor files for all commercial governmental payors to ensure clean submission through fiscal intermediaries and third party clearing house
- Must work with employees of all levels to support accurate, proper data exchanges and problem solving techniques
- Acquisitions: Maintains strict confidentiality in working with pre-close acquisition information; completes intermediary enrollments for all governmental payors (Medicare/Medicaid) linking provider to LHC submitter ID upon completion of Change of Ownership for all acquisition activity; Completes Zirmed/eSolutions payor enrollments necessary to add providers at acquisition
- Set up of billing and collections/accounts receivable for newly acquired agencies and prepares the accounts receivable for successful integration into production.
- Set up and completes troubleshooting for all new Medicaid program electronic claim submission/era for all new states
- Performs Maintenance on a weekly basis of all Zirmed/eSolutions products
- Maintains DDE user access for all Revenue Cycle Management Leaders and staff in addition to adding providers to existing user access for acquisition activity
- Identifies issues needing immediate attention that would hinder operations with enrollment/claim submission/posting issues and communicate those to your manager
- Participates as requested in special projects assigned to the Acquisition Team and other Revenue Cycle Support Admin Staff
- 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 committed to a culture of diversity, equity and inclusion and is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any legally other protected characteristic.
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.
