Cook Children's Health Care System · 5 days ago
EDI Billing Specialist, Hosp
Fort Worth, TX
Full-time
Onsite
Mid Level
3+ years expCook Children's Health Care System is a leading healthcare provider dedicated to meeting children's needs. The EDI Billing Specialist is responsible for timely and accurate billing of claims for physician and hospital services, monitoring unbilled claims, and managing electronic claims rejections while serving as the primary link between the business and data-trading partners.
Hospital & Health Care
Responsibilities
Monitor, direct, or correct all unbilled and pending claim rejections
Develop, coordinate, implement, and manage electronic claims rejections
Establish contact with trading partners
Analyze the data exchanged with any partners
Observe data records to record any errors
Correct any failures and stage the received data for billing operations use
Work with all levels of the organization to support accurate, proper data exchanges within the organization
Qualification
Required
High School Diploma or equivalent required, Bachelors preferred
Minimum three years relevant work experience in hospital billing/coding or healthcare business office experience
Must possess an advanced knowledge of various types of insurance plans
Understanding of Managed Care contracts, denials and payor methodology
Must have thorough knowledge of billing invoicing practices such as CMS UB and EDI (Electronic Data Interchange)
Expert with clearinghouse rejections, demographics, and modifiers
Ability to work in fast paced, deadline driven environment
Effective oral and written communication skills
Keyboarding accuracy and math aptitude skills
Preferred
Medical terminology, knowledge of insurance and reimbursement procedures preferred
Prior experience with Epic Hospital Billing Resolute preferred
Company
Cook Children's Health Care System
Cook Children's Health Care System embraces an inspiring Promise – to improve the health of every child in our region through the prevention and treatment of illness, disease and injury.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Mike Simmons
President & CFO Cook Children's Home Health
Stephen Kimmel
Chief Financial Officer
Recent News
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