Healthcare EDI Analyst, Sr. jobs in Atlanta, GA

Description

About PaymentsMD 
PaymentsMD is a leading Medical Billing company for Emergency Medicine, Hospitalist, and Radiology, conveniently located off 285 in Sandy Springs. Currently serving approximately 1,000 physicians, we support the financial services for more than 2 million patients across the U.S. each year. 
Our mission is to maximize the efficiency and performance of our healthcare providers and deliver unparalleled billing and claim support to the patient. To achieve this, we implement leading-edge technology and provide our staff with the knowledge to be successful. As one of the nation’s largest and fastest-growing physician services provider, we offer a competitive salary, and benefit packages.  

The EDI Enrollment Analyst will be responsible for submitting/reviewing daily enrollment tasks for New & Existing provider groups through form and/or online processing. This role will enroll provider groups for ERA and EFT payments with various insurance payers and update the provider group’s “Pay-To” or Billing Address demographics to ensure all paper checks, EOBs and correspondence reflect accurate information to insurance carriers and patients. This will allow for correct payout information to be noted and processed. In this role, the analyst is expected to identify any trends or changes in payer requirements that cause negative impacts on current or future enrollments and communicate those trends to EDI Enrollment Manager for possible resolution.  
 

Qualifications & Responsibilities

•    Responsible for completing enrollment tasks in Athena portal
•    Review task history to ensure timely processing of requested enrollments. Review of work queues daily to ensure consistent follow-up.
•    Ability to review, identify and research payer enrollment issues and communicate these issues with your EDI Enrollment Manager and client support team.
•    Contact Health Insurance carriers to verify “Pay-To” address information is correctly noted with the payers, and/or update as applicable.
•    Keep and update Daily Trackers for various work-related task/assignments.
•    Identify and initiate missing enrollments for New and Existing Groups
•    Perform other duties and projects assigned.
•    Maintain strict confidentiality; adhere to all HIPAA guidelines/regulations
•    Report any compliance-related problems, unresolved issues, proposed changes, or developments affecting the department or company to the EDI Enrollment Manager

Required Education and Skills 
•    High School Diploma or equivalent required.
•    Bachelor’s Degree in Healthcare Administration or related field a plus.
•    Proficiency with Microsoft Office.
•    Athena Collector System, Excel, Insurance and third party processing portals experience a plus.

To promote a positive company culture where work-life balance is a primary component, we also offer the following benefits to our employees: 

• Paid Time Off
• Full Health Benefit Package
• Generous Employer Contribution to Health Spending Account
• 401(k) with employer contribution
• Employee Assistance Program
• Voluntary Short Term/Long Term Disability
• Wellness Program
• Onsite Gym