RESPONSIBILITIES:

�         Control the electronic data flow that includes receipts from hospitals and office
practices, outside vendors, and files moving to our billing system. 

�         Follow up with the appropriate party when problems arise and document issues of
concern.

�         Analyze �exceptions� data for trends.

�         Propose new methods of handling the department workflow more efficiently
(automation).

�         Propose solutions and provide leadership and follow-through in resolving issues.

�         Create system of checks and balances that will prevent catastrophic errors in
processing files.

�         Give direct input for setting policies and procedures for the department.

 

SPECIFIC JOB DUTIES:

�         Manage/Process data Files

Send and retrieve data files

            Retrieve and verify files from hospitals

          Create services in Unix

          Analyze exceptions and suggest corrections

          Reconcile charges

�         Manage Flow of Demographic Files

Analyze missing records

Work with hospitals to resolve issues

Backup the Claims and Demographics supervisor

 

REQUIREMENTS:

EDUCATION/EXPERIENCE/COMPETENCIES

Proficiency in Windows applications such as Word, Excel, Access.
Experience with Modem, FTP and VPN connections extremely helpful.
Medical terminology helpful
Experience with data transactions and/or electronic information systems.
Previous experience with physician billing preferred but not necessary.
 

PERSONAL CHARACTERISTICS:

�         Must possess excellent organizational skills.

�         Must possess the self-motivation, creativity, and vision to succeed with minimal
supervision.

�         Ability to utilize Independent thinking and proper judgment in resolving department
concerns and client issues.

�         Exceptional communication skills (written and verbal).

�         Ability to handle challenging situations and multiple tasks.

�         Ability to think analytically 

�         Ability to grow with a company

 

We offer a competitive compensation and benefits package including 401(k), health, Life, LTD
insurance and 529-college tuition investment plan.

 Resumes that do not include salary requirements will not be considered.

Candidates should forward a cover letter and copy of their resume via

E-mail in a Word attachment to [email protected] or fax to

508-273-1340 and refer to the position opening:  EDI Support

Equal Opportunity Employer.

No phone calls please!

Check us out on the web at affilprof.net