Front End EDI Coordinator

RadNet; Village of Fairport (NY); On-site; USD 27,000 - 30,000; Full time

Job summary

RadNet in New York is seeking a Front End Coordinator to research and process payor and clearinghouse rejections from electronically filed medical claims. You will resolve rejections to allow claims to be filed and paid, updating the clearinghouse and patient accounting systems as needed.

The role requires attention to detail, strong analytical skills, and proficiency with Excel and payor platforms (Availity, Imagine, eRAD, IDX).

Qualifications

• The Front End Coordinator researches and processes payor and clearinghouse rejections.
• Experience with electronic claim filing and payor requirements is helpful.
• Proficiency in Microsoft Excel and payor clearinghouse tools.

Responsibilities

• Research and resolve clearinghouse rejections to enable claims filing.
• Update clearinghouse and patient accounting systems as needed.
• Handle high-volume medical claims in a fast-paced environment.

Skills

Excel

10-key

Research & analysis

Attention to detail

Teamwork

Problem-solving

Payor systems

Clearinghouse research

Tools

Availity

Imagine

eRAD

IDX

Job description

Responsibilities

Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, RadNet isLeading Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of RadNet’s success is its people with the commitment to a better healthcare experience. When you join RadNet as our Front End EDI Coordinator,you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21stcentury and align all stakeholders- patients, providers, payors, and regulators achieve the best clinical outcomes.

JOB SUMMARY

The Front End Coordinator is responsible for research and processing of payor and clearinghouse rejections stemming from electronically filed medical claims to insurance companies that are unable to bill until rejection is resolved. Work involves researching and resolving the rejection type, requiring updates within the clearinghouse as well as the patient accounting system. Effective resolution of clearinghouse rejections allows the medical claim to successfully file to the insurance company for processing. Rejections are time-sensitive and must be resolved according to payor requirements to ensure timely payment of medical claims. Applications extensively utilized for this purpose are Availity, Imagine, eRAD, IDX, Excel, various payor links and hospital systems.

You will:

• Ability to efficiently work in a fast-paced environment with a high volume of medical claims with proven ability to work with multiple practices and tasks.


• Strong attention to detail.


• Analytical and problem-solving skills to analyze issue to determine resolution and maximize efficiency.


• Microsoft Office experience with strength in Excel.


• Excellent organizational skills.


• Type and 10-key skills.

If You Are:

• 
  
  
  
  • Prior AR follow-up/medical billing experience desired.
  
  
  • Demonstrated teamwork and leadership skills.
  
  
  • Ability to deal with change.
  
  
  • Demonstrate a positive attitude towards continuous improvement.
  
  
  • Able to respond appropriately even in challenging situations.
  
  
  • Able to positively motivate others.
  
  
  
  

Ideal Candidate will possess:

• Communicates, cooperates, and consistently functions professionally and harmoniously with all levels of supervision, coworkers, patients, visitors, and vendors.


• Demonstrates initiative, personal awareness, professionalism, and integrity, and exercises confidentiality in all areas of performance.


• Follows all local, state, and federal laws concerning employment including but not limited to: I-9, Harassment, EEOC, Civil rights, and ADA.


• Follows OSHA regulations, RadNet, and site protocols, policies, and procedures.


• Follows HIPAA, compliance, privacy, safety, and confidentiality standards at all times.

Pay Range: $19.75-$22.00 per hour