EDI Representative

EDI Representative

It is an exhilarating time of growth for USPh, and we are hiring a Patient Account Representative with strong technical ability and business acumen to join our expanding Houston team. Your role will be critical in our billing and claims department, and you will be asked to facilitate procedural requirements, including data elements, insurance verification, authorization for services, and collections for all patient portions, including prior balances.

Responsibilities:

• Work closely with patients to resolve billing and payment issues.
• Research and resolve discrepancies in patient accounts.
• Process payments and refunds.
• Review and update patient insurance information.
• Communicate with insurance companies to obtain prior authorizations and verify coverage.
• Follow up on unpaid claims and denials.
• Maintain accurate and up-to-date patient account information.
• Provide excellent customer service to patients and healthcare providers.
• Collaborate with other departments to improve processes and ensure timely reimbursement.
• Maintain knowledge of current insurance regulations and coding requirements.

Qualifications:

• High school diploma or equivalent required; Associate's or Bachelor's degree preferred
• 1-2 years of experience in medical billing and collections
• Knowledge of medical billing and coding, insurance regulations, and healthcare reimbursement policies
• Strong attention to detail and ability to work independently
• Excellent communication and customer service skills
• Proficient in Microsoft Office, Waystar, Japari and other computer programs

Benefits:

• Competitive compensation
• Front Office Monthly Incentive based on meeting metrics
• Excellent benefits package including 401k, health, dental, and generous paid time off
• Multiple opportunities for professional development, specialization, and leadership
• Employee discount plans
• Employee Assistance Program (EAP)
• Investment from a company that wants you to succeed and thrive.