What are the responsibilities and job description for the EDI Representative position at U.S. Physical Therapy?
Overview
Company Name: U.S. Physical Therapy, Inc.
Position: EDI Representative
Location: Houston, Texas
Employment Type: Full-Time
Experience: 1 years
We Are Seeking:
U.S. Physical Therapy, Inc. is currently seeking a qualified individual to join our unique and exciting outpatient healthcare company as an EDI Representative. This position is based out of our corporate office in the Westchase area of Houston.
Company Perks:
- Excellent benefits package including 401k, health, dental, Paid time off, and more
- Employee discount plans
- Employee Assistance Program (EAP)
- Family-friendly work environment
- Investment from a company that wants you to succeed and thrive
Duties:
- Ensures the electronic data exchanged between systems is accurate to ensure prompt reimbursement from various payors
- Visits payor websites and completes online EFT and ERA enrollment forms accurately and timely, with appropriate signatures
- Tracks each enrollment form to completion on Microsoft Excel, following up with the payor as necessary
- Responds to the payor and clinic telephone calls and emails in a timely manner
- Troubleshoots batches uploaded by clinics and provides timely solutions and feedback
- Reviews and research claim denials and rejections; communicates backlogs to clinics
- Answers the EDI Help Desk phone line, making sure to document, track and monitor support requests to ensure a timely resolution; provides technical support to end users on any issues related to ANSI 837P and 837I billing forms
- Identifies, researches, and resolves technical problems related to denied and rejected claims
- Reports any specific trends or issues to management
- Responds to management special project requests
- Provides coverage as needed for other departmental personnel
- Supports and maintains information security measures as appropriate to the position, including HIPAA rules and U.S. Physical Therapy standards of confidentiality
Qualifications:
- High school diploma or equivalent
- A minimum of one years’ experience in a medical billing and collection environment (i.e., Customer Service Representative with a payor, Enrollment Specialist, Patient Account Representative, or Biller)
- Experience with ZirMed® Claims or Waystar Clearinghouse software
- Experience with Track-It® Work Order software or equivalent
- Experience with Raintree® practice management software
- Knowledge of ANSI Code Set as it applies to 837P and 837I healthcare billing
- Proficiency in Microsoft Office (with a strong working knowledge of Excel)
- Outstanding customer service attitude
About U.S. Physical Therapy:
U.S. Physical Therapy, Inc. ("USPh"), which was founded in 1990, is a publicly held company which operates 670 outpatient physical and/or occupational therapy clinics in 42 states. The company's clinics provide post-operative care for a variety of orthopedic-related disorders and sports-related injuries, treatment for neurologically related injuries, rehabilitation of injured workers, and preventative care.