EDI Billing Analyst II
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Job Description
Billing EDI Analyst II at Labcorp focusing on project leadership and billing EDI processes. Collaborating with payers and vendors to ensure successful claims processing and transmission.
Responsibilities:
- Leads complex projects and issue resolution efforts
- Trains and mentors Billing EDI Analysts
- Liaison with payers and vendors as well as reimbursement analysts and Payer Solutions members
- Educate colleagues to ensure successful transmission of required billing data
- Conduct detailed data analysis of submissions issues and defects while using multiple sources to identify resolution
- Prompt pursuit and escalation as appropriate of payer/vendor issues with claim submission success
- Identify alternate paths when vendor/payer relationships change or when vendor issues prohibit successful claim adjudication timely
- Determine appropriate test cases required for evidence of successful transmission of billing data; requires understanding of payer/vendor specific business and platforms
- Review 837 files and payer response files (TA1, 999, 277 and proprietary) to validate quality and appropriate outcomes of EDI transmission
- Convey updates to management and business stakeholders on issues and project status
- Maintain payer and vendor confidence in Labcorp and staff
- Support colleagues when there are scheduling conflicts
- Identify problems within established timeframes to determine and communicate impact
- Determine and communicate solutions to roadblocks
- Interact and collaborate with team members at all levels, including senior management
- Ability to handle multiple projects simultaneously
- Will work independently, as well as in a team environment
- Build and cultivate strong working relationships over the phone and through email
- Support internal department projects and functional areas
- Maintain accurate and up to date documents such as logs, reports, spreadsheets
- Develop process/documentation material that is easily understood by end users (SOPs)
- Participate in projects, meetings, and training activities
Requirements:
- Bachelor's degree with 5 years relevant experience
- > 5 years of billing or EDI experience preferred
- Knowledge of 837, 999, TA1, 277 files
- Knowledge of medical billing
- Mentoring/Training experience
Benefits:
- Medical
- Dental
- Vision
- Life
- STD/LTD
- 401(k)
- Paid Time Off (PTO) or Flexible Time Off (FTO)
- Tuition Reimbursement
- Employee Stock Purchase Plan
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