Medical Billing Representative

  • WebPT
  • Phoenix, AZ, USA
  • Dec 02, 2019
Full time Customer Service

Job Description

As a WebPT EDI Specialist, you will work with a cross functional team to assist our Members with the WebPT Billing Service onboarding process, which includes insurance enrollment, EMR setup, and billing systems integration.

At WebPT, we like to hire the most talented people for our teams, and then give them the freedom to do their jobs. Here, we work hard, but we have lots of fun doing it. So if you like a cool, collaborative work environment, you’ll fit right in. Throw business casual to the wind. We want casual casual. Rock flip flops and jeans. We don’t care as long as you do good work and enjoy yourself.

Responsibilities

  • Complete and submit EDI and ERA enrollment forms on behalf of WebPT Billing Service members.
  • Forward EDI and ERA enrollment forms and instructions to WebPT members and set reasonable expectations for approvals.
  • Track all enrollment related items in CRM and ticketing systems.
  • Edit the incomplete constants report for missing NPI numbers and any other request from company employees and clients.
  • Provide status updates to WebPT members and internal teams regarding approvals.
  • Review EMR and billing system data and identify potential consistency issues.
  • Audit claims to identify and resolve any system configuration or enrollment issues.
  • Provide support to the Billing Service Team by adding providers and payers, resolving data mapping issues, and making billing software configuration changes.
  • Assist providers with enrolling and updating Provider Source and CAQH.

Skills and Qualifications

Abilities and Knowledge

  • Understand the ins and outs and ups and downs of EDI/ERA enrollments.
  • Wrangle spreadsheets like a rodeo champ (i.e., create, maintain, and work with Excel, Google+, and OpenOffice files).
  • Project manage like a boss. We have multiple initiatives going at once, and we need someone who can not only juggle them, but see them all through, on deadline.
  • Be organized, ahead of schedule, communicative, and accountable. In short, own your role entirely, while being open to critiques, suggestions, and new ideas.
  • Be comfortable working with spreadsheets (e.g., Excel and OpenOffice)

Education and Experience

Required:

  • At least one year of experience working with medical billing systems or claims processing
  • Knowledge of EDI/ERA enrollments
  • Proven experience with HIPAA compliance and medical terminology

Preferred:

  • SaaS industry experience

Additional Aspects of the job

Working Conditions

WebPT will make reasonable accommodations to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee will not be exposed to weather conditions, and the noise level is usually moderate.

Physical Requirements

WebPT will make reasonable accommodations to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee may occasionally need to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; or taste or smell. The employee must occasionally lift and/or move up to 25 pounds. This job requires specific vision abilities, including close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

EEO Statement

WebPT, Inc. provides equal opportunity for all applicants without regard to race, color, religion, sex (including pregnancy), national origin, ancestry, age, genetic information, marital status, sexual orientation, veteran status, or any other basis protected by state or federal law.