Patient Account Assoc II EDI Coordinator - Intermountain Health
Concord, NH
About the Job
Job Description:
Creates and optimizes EDI connectivity for ERAs, completes and monitors enrollments, manages and maintains payer portals.
Scope
1. Develops and implements strategies for adhering to commercial and Government requirements of emerging payment techniques and various payor portal access requirements, not limited to: development of procedures, assessing and communicating reporting and documentation. Establishing processes for the SCL system in complying with payor requirements.
2. Serves as a subject matter expert for commercial payor requirements and mechanisms for alternative payment methods. Accountable for understanding and communicating the related commercial and regulatory programs payment techniques and portal access requirements.
3. Acts as a technical resource related to portal access and functionality for operational management and staff. Manages and maintains all tickets related to government and commercial payor portals across the organization.
4. Monitors and leads implementation of vendor updates around portal usage requirements. Acts as a subject matter expert for the RSC as it relates to EDI enrollments to obtain remittance advice. Acts as a liaison between the organization and vendors, and internal and external partners. Collaborates with interdepartmental leadership and vendors to implement streamlined workflows, training and communication.
5. Supports leadership in coordinating with clearinghouse vendors and works to obtain electronic payments where the clearinghouse contracts are not in place.
6. Researches errors identified by payor payments being sent in means other than EFT/ERA or via clearinghouse. Achieve and maintain electronic payment activity at 100% or as payors allow.
7. Works with clearinghouse to enroll payors and resolve payment/system issues.
8. Creates and provides monitoring and trending reports to the Cash Management Leadership teams. Utilizes reporting to partner with internal and external partners and provide suggested solutions for identified trends.
9. Meets department’s productivity and quality goals in a high-volume processing environment.
10. Promotes mission, vision, and values of SCL Health, and abides by service behavior standards. 11. Performs other duties as assigned.
Education
Required:
High School diploma or Equivalent is required.
Preferred:
Associate’s Degree is preferred.
Experience
Required:
Three (3) Years of experience in Revenue Cycle and/or Cash Management.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
+ Understands in Depth EDI enrollment processes for SCL Health ERA/EFT payment retrieval.
+ Ability to produce data in a spreadsheet, pivot table, graph, slide show or other communication tool that can be easily understood.
+ Data analysis to identify patterns and trends to improve the targeted activity and outcome.
+ Handle complex, high volume and risk-related issues.
+ Strong attention to detail and accuracy.
+ Ability to self-direct once provided with desired outcome and overall work plan
+ Ability to interact with internal and external customers in a manner with which exhibits partnering skills in order to reach a common goal.
Physical Requirements:
Location:
Peaks Regional Office
Work City:
Broomfield
Work State:
Colorado
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$23.30 - $35.48
We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/) , and for our Colorado, Montana, and Kansas based caregivers (http://www.sclhealthbenefits.org) ; and our commitment to diversity, equity, and inclusion (https://intermountainhealthcare.org/careers/working-for-intermountain/diversity/) .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
All positions subject to close without notice.
Creates and optimizes EDI connectivity for ERAs, completes and monitors enrollments, manages and maintains payer portals.
Scope
1. Develops and implements strategies for adhering to commercial and Government requirements of emerging payment techniques and various payor portal access requirements, not limited to: development of procedures, assessing and communicating reporting and documentation. Establishing processes for the SCL system in complying with payor requirements.
2. Serves as a subject matter expert for commercial payor requirements and mechanisms for alternative payment methods. Accountable for understanding and communicating the related commercial and regulatory programs payment techniques and portal access requirements.
3. Acts as a technical resource related to portal access and functionality for operational management and staff. Manages and maintains all tickets related to government and commercial payor portals across the organization.
4. Monitors and leads implementation of vendor updates around portal usage requirements. Acts as a subject matter expert for the RSC as it relates to EDI enrollments to obtain remittance advice. Acts as a liaison between the organization and vendors, and internal and external partners. Collaborates with interdepartmental leadership and vendors to implement streamlined workflows, training and communication.
5. Supports leadership in coordinating with clearinghouse vendors and works to obtain electronic payments where the clearinghouse contracts are not in place.
6. Researches errors identified by payor payments being sent in means other than EFT/ERA or via clearinghouse. Achieve and maintain electronic payment activity at 100% or as payors allow.
7. Works with clearinghouse to enroll payors and resolve payment/system issues.
8. Creates and provides monitoring and trending reports to the Cash Management Leadership teams. Utilizes reporting to partner with internal and external partners and provide suggested solutions for identified trends.
9. Meets department’s productivity and quality goals in a high-volume processing environment.
10. Promotes mission, vision, and values of SCL Health, and abides by service behavior standards. 11. Performs other duties as assigned.
Education
Required:
High School diploma or Equivalent is required.
Preferred:
Associate’s Degree is preferred.
Experience
Required:
Three (3) Years of experience in Revenue Cycle and/or Cash Management.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
+ Understands in Depth EDI enrollment processes for SCL Health ERA/EFT payment retrieval.
+ Ability to produce data in a spreadsheet, pivot table, graph, slide show or other communication tool that can be easily understood.
+ Data analysis to identify patterns and trends to improve the targeted activity and outcome.
+ Handle complex, high volume and risk-related issues.
+ Strong attention to detail and accuracy.
+ Ability to self-direct once provided with desired outcome and overall work plan
+ Ability to interact with internal and external customers in a manner with which exhibits partnering skills in order to reach a common goal.
Physical Requirements:
Location:
Peaks Regional Office
Work City:
Broomfield
Work State:
Colorado
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$23.30 - $35.48
We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/) , and for our Colorado, Montana, and Kansas based caregivers (http://www.sclhealthbenefits.org) ; and our commitment to diversity, equity, and inclusion (https://intermountainhealthcare.org/careers/working-for-intermountain/diversity/) .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
All positions subject to close without notice.
Source : Intermountain Health