Healthcare EDI Analyst jobs in Helena, MT

JOB SUMMARY:

This position is part of the customer service group, will be part of the customer service phone rotation and upfront collections of payments.

Responsibilities will include analyzing, reviewing, monitoring, processing and collecting on all hospital and clinic self-pay accounts. This would include monitoring accounts for payroll deductions, financial assistance, uninsured and underinsured discounts, and monthly payment plan accounts. This position works with contracted outsourcing and bad debt vendors. This position will also be responsible for conducting insurance prior authorization and eligibility checks for services as assigned.

Schedule:

• 1.0FTE (40 hours)
• Mon-Fri
• 8a-4:30p

ESSENTIAL FUNCTIONS, DUTIES, AND RESPONSIBILITIES:

1. Answer customer service phone calls.
2. Prior Authorization of services as assigned.
3. Analyze account balances for correct patient billing after insurance processing.
4. Apply discounts according to established procedures.
5. Track communications and outsource accounts according to established procedures.
6. Respond and assist outsourcing and collection agency staff with account inquiries.
7. Work with patients to establish and monitor monthly payment plans according to established procedures.
8. Attend meetings and seminars as requested by Business Office Manager.
9. Responsible for entering detailed account notes describing actions taken or recommended according to established procedures.
10. Responsible for being courteous and polite to patients, their agents, coworkers, and other hospital staff at all times, whether on the telephone or in person.
11. Provide quality customer service, both internally and externally.
12. To be cross trained in other areas of Patient Financial Services as necessary.
13. Perform other duties as assigned by supervisor.
14. Adheres completely to HIPPA regulations.

ADDITIONAL RESPONSIBILITIES:

1. Perform other duties as assigned by Manager.

QUALIFICATIONS (Required):

1. High School Diploma or equivalent.
2. Knowledge of medical billing preferred.
3. Minimum of two years computer experience which includes Microsoft Word, Excel or similar programs.
4. Ability to be accurate and attentive to detail.
5. Analytical and problem solving skills.
6. Excellent communication skills, both written and verbal.