Patient Account Associate Claims and EDI
$40,123–$57,096 year
On-site · Broomfield, Colorado, United States
Job Summary
Process patient claims in EPIC and through the clearinghouse, monitor unbilled claims, and update medical coverage. Ensure registration information, coding, status level of care, coverage, and coordination of benefits are correctly handled; resolve system or edit issues with clearinghouse; research payer errors and work with IT and other departments to correct information on claims. Serve as SME for the team, assist in onboarding and cross-training, and collaborate with payer EDI teams to meet productivity and quality goals in a high-volume environment. Adhere to HIPAA regulations and support continuous improvement within Intermountain Health.
Required Qualifications
- High School Diploma or equivalent (GED)
- One (1) year of work experience in high volume processing position or medical billing office or Billing/Coding certification/training is required
- Knowledge of Medicaid and Medicare billing regulations
- Billing & Coding Certification/Training (preferred)
- Two (2) years of experience in medical processing and EPIC preferred
Additional Requirements
- CA
- CT
- HI
- IL
- MA
- MN
- NY
- PA
- RI
- VT
- WA
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