EDI Representative Onsite Houston, Texas

U.S. Physical Therapy, Inc.; Houston (TX); On-site; USD 40,000 - 52,000; Full time

Job summary

U.S. Physical Therapy, Inc. is seeking an EDI Support Representative to assist the Electronic Data Interchange (EDI) department and our therapy clinics based at the Corporate Office on the West side of Houston.

The role focuses on enabling accurate payor enrollment, timely processing, and responsive support. You will handle enrollment forms, monitor backlogs, respond to calls and emails, review ZirMed claim rejections, and provide basic technical help with ANSI 837P and 837I formats, ensuring

Responsibilities

• Completes payor enrollment forms accurately and timely, with appropriate signatures
• Tracks each enrollment form to completion, following up with Payor as necessary
• Responds to telephone calls and/or emails in a timely manner
• Reviews ZirMed Medical Claims rejections on a USPh summary basis to highlight/report on Clinics that may have backlogs
• Answering the EDI Help Desk phone line, making sure to document, track and monitor support requests to ensure a timely resolution
• Provide technical support to end users on any straightforward issues related to ANSI 837P and 837I formats
• Identify, research and resolve technical problems related to rejected claims

Job description

Company Description

USPh (U.S. Physical Therapy) is one of the largest publicly traded, independent operators of leading physical and occupational therapy clinics dedicated to enhancing patient outcomes through a collaborative, partnership-driven model. We partner with over 700 clinics nationwide, across 44 states, offering them the resources, operational support, and clinical expertise needed to thrive in today’s healthcare landscape.

By aligning with the USPh network, our partners benefit from operational support and a shared commitment to evidence-based care, all while maintaining their autonomy and local identity.

We believe that the strength of our partnerships lies in the individuality of each partner. Our “OnePartner” model is designed to allow clinics to maintain their unique culture and identity, empowering them to foster meaningful relationships within their communities. By preserving their local roots, clinics can continue to build trust with patients and referral sources, while attracting top talent who value the chance to be part of a personalized, community-centered environment.

Job Description

We are searching for an individual who wants to join our exciting company as a EDI Support Representative. The Individual will be responsible for providing support to the Electronic Data Interchange (EDI) department and our USPh therapy clinics in accordance with USPh policies and payor specific guidelines. This position is based out our Corporate Office on the West side of Houston.

Essential Duties and Responsibilities include the following:

PRIMARY RESPONSIBILITIES

• Completes payor enrollment forms accurately and timely, with appropriate signatures


• Tracks each enrollment form to completion, following up with Payor as necessary


• Responds to telephone calls and/or emails in a timely manner


• Reviews ZirMed Medical Claims rejections on a USPh summary basis to highlight/report on Clinics that may have backlogs


• Answering the EDI Help Desk phone line, making sure to document, track and monitor support requests to ensure a timely resolution


• Provide technical support to end users on any straightforward issues related to ANSI 837P and 837I formats


• Identify, research and resolve technical problems related to rejected claims