LogixHealth EDI Specialist, EDI in Bedford, Massachusetts
Are you interested in joining a team that strives to positively impact the healthcare system?
LogixHealth provides services and technology that result in smarter healthcare. We need the best and most inspired team members and are looking for people with a high level of intellectual curiosity and drive who always ask "why" and "how can we do it smarter."
If we have piqued your interest and you also possess:
? A strong attention to detail and active listening skills
? Proficient computer and Microsoft Excel skills
? The ability to multitask
We want to meet YOU!
Duties and Responsibilities
Sending of 837 files
Run validations in the Ntierprise software system on claims data to ensure billing integrity
Prepare the electronic claims to be sent
Collection of 835 files
Electronically matching insurance payments to the correct practice in Allscripts PM
Review on a daily basis the Insurance Carrier Reports to resolve discrepancies or incomplete claims and send unresolved issues to the proper department or an Account Manager for follow up
Reconcile electronic payments by retrieving electronic bank files for each client and matching payments or denials to the corresponding insurance carrier
Access and store EOBs and related documents into the Touch Chart filing software system
Adhere to the Code of Conduct and be familiar with all compliance policies and procedures stored in LogixGarden relevant to this position
To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities perform the duties.
Education (Degrees, Certificates, Licenses, Etc.)
High School Diploma or equivalent combination of education and experience required.
Prior word processing, spreadsheet and internet software experience including proficiency with MS Excel and MS Word required.
One to two years related experience with prior experience of EDI operations preferred.
Specific Job Knowledge, Skill and Ability
Ability to add, to subtract, multiply and divide in all units of measure; this ability will encompass using whole numbers, common fractions and decimals
Ability to adjust to new processes and suggest improvements as you discover the need
Ability to compute rates, ratios and percentages
Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals
Ability to write routine reports and correspondence
Ability to communicate effectively verbally and in writing
Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form
Ability to deal with problems involving several concrete variables in standardized situations
Specific vision abilities required by this job include close vision
Ability to sit for prolonged periods of time, use hands, talk, hear and occasionally walk and reach with hands or arms