LogixHealth Assistant Team Lead, 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, active listening skills and the ability to multitask
Proficient computer and Microsoft Excel skills
Effective communication and organization skills
We want to meet YOU!
To assume an assistant leadership role in ensuring timely filing of 837 files and collection of 835 files; analyze rejection reports and report back to EDI management team missing or erred information, support EDI team members with issues and training, problem solve and help facilitate process improvement.
Duties and Responsibilities
Report reconciliation for primary clearinghouse
Manage Individual EDI Provider enrollments with Payers
Work with Automation Team on EDI process improvements
Train incoming team members and cross train existing team members
Assist EDI Team Lead and Supervisor on special projects
Identify errors and monitoring of clearinghouse/carrier reports
Send 837 files
a. Run validations in the Ntierprise software system on claims data to ensure billing integrity
b. Prepare the electronic claims to be sent
- Collect 835 files
a. Electronically matching insurance payments to the correct practice in the Ntierprise 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 MS Office experience, including proficiency with Excel and Word, and internet software experience required.
One to two years related experience with previous leadership or supervisory experience in a healthcare setting preferred.
Specific Job Knowledge, Skill and Ability
Ability to communicate effectively and instruct staff in a leadership role
Prior knowledge of EDI operations
Ability to effectively present information in one-on-one and small group situations to customers, clients and other employees of the organization
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 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
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