Analyst-Hospital Billing EDI

SummaryThe EDI HB Analyst is responsible for identifying, monitoring and maintaining support for hospital billing related claims issues as it relates to electronic data interchange with the Baptist Hospital System, Clearing House and Payer Website Portals. This will sometime require working with professional claim contacts based on need and how Payer Website Portals handles each facility for assigned tax id and NPI numbers.ResponsibilitiesServes as the EDI Subject Matter ExpertBe familiar with healthcare enrollment processes, insuranceplans, and regulatory requirementsLearns and processes requests through Experian EnrollSourceResponse to users request for website access with theassistance of other team members on the Billing Team as needed to completeprocess (administrative accessResponds to inquiries from vendors, payors, and providersregarding EDI issues related to enrollment, claims, payments, and clearinghouseactivitiesMeet all deadlines associated with EDI process for payersExecutes EDI transactions as need to complete requiredactivitiesProvide support for EDI functions as neededTroubleshoot payer issues with clearinghouse (Experian) forclaimshWork with Revenue Cycle Leaders to determine projectimportance for EDI itemsDemonstrate the ability to evaluate and maintain payerinformation for EDI purposesDemonstrate and maintain prosper proficiency between the hospitalsand payer issuesAble to communicate with payers about ERA/EFT issues as they are presented.Train employees as need to handle Payer Website PortalsReview ERAs in Clearinghouse to ensure correct EFT information assigned.Complete assigned goals and projectsRequirements, Preferences and ExperienceMinimum Experience: 5 years of hospital billing revenue cycle experience. Must have an understanding of Payer WebsitePortal and their reimbursement processes.Software application knowledgeMinimum Education: High School diploma or equivalentBachelor's degree preferredAbout Baptist Memorial Health CareAt Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey.At Baptist, We Offer:+ Competitive salaries+ Paid vacation/time off+ Continuing education opportunities+ Generous retirement plan+ Health insurance, including dental and vision+ Sick leave+ Service awards+ Free parking+ Short-term disability+ Life insurance+ Health care and dependent care spending accounts+ Education assistance/continuing education+ Employee referral programJob Summary:Position: 19952 - Analyst-Hospital Billing EDIFacility: BMH - Central Business OfficeDepartment: HS Central Business Office CorporateCategory: Finance and AccountingType: Non ClinicalWork Type: Full TimeWork Schedule: DaysLocation: US:TN:MemphisLocated in the Memphis metro area REQNUMBER: 24930