"Alerted.org

Department Name:

Rev Cycle Central Supp Svcs

Work Shift:

Day

Job Category:

Revenue Cycle

Estimated Pay Range:

$23.16 - $34.74 / hour, based on location, education, & experience.

In accordance with State Pay Transparency Rules.

Health care is constantly changing, and at Banner Health, we are at the front of that change. We are leading health care to make the experience the best it can be. We want to change the lives of those in our care – and the people who choose to take on this challenge. If changing health care for the better sounds like something you want to be part of, we want to hear from you.

Banner Health is currently seeking an **EDI Associate** to join the EDI Department. As an EDI Associate, you'll be at the forefront of healthcare technology, overseeing daily automated billing workflows while collaborating with IT teams, external vendors, and cross-functional departments. This role involves monitoring electronic claim transmissions, researching payer requirements, and implementing cutting-edge billing processes.

This position offers the perfect blend of technical expertise and healthcare impact, where you'll troubleshoot complex systems – such as NextGen and Fin Thrive, lead special projects, and potentially mentor other staff members. Working independently under general supervision, you'll utilize specialized knowledge to solve technical problems across multiple systems. The role requires expert analytical skills, knowledge of medical terminology, and the ability to implement new application programs while maintaining accurate records and resolving system issues in a timely manner. **The typical schedule for this role is Monday – Friday 8 am to 5 pm with limited schedule flexibility.**

This can be a remote position if you live in the following states only: AL, AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV & WY

Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options, so you can focus on being the best at what you do and enjoying your life.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position oversees the daily automated billing and posting job streams within assigned departments; identifies errors and exceptions, trouble-shoots and corrects errors, entailing posting and reconciliation of transactions

CORE FUNCTIONS

1. Monitors daily translation and transmission of electronic billing claims and printing of UB92, UB04, HCFA 1500 and CMS 1500 claim forms, including identifying and correcting errors, and ensuring balancing of all activities by extracting crucial data elements and performing analysis on results.

2. Obtains and prepares and posts daily, weekly and monthly payment and adjustment transactions using the electronic posting program. Identifies errors and exceptions, researches, corrects and posts to appropriate accounts with adequate documentation. Ensures all transactions balance and identify and correct errors.

3. Researches and evaluates third party claims companys' edits and modifications with payer units to validate appropriateness for Banner Health billing processes. Validates compatibility of new or requested edits with existing billing processes and procedures.

4. Researches, implements and tests new lines of electronic billing and posting. Participates in new software setup requiring engagement of other Banner departments, vendor contacts, and internal reviewers.

5. Utilizes multiple systems and/or programs to provide statistical data in support of issues list(s) provided to payers and internal customers/management.

6. Maintains an accurate and low balance in claims billing system and General Ledger holding accounts for irreconcilable transactions. This entails contacting possible recipients, researching payment documentation, reviewing patient accounting system, contacting finance department, reviewing GL transactions, and participating as needed in bank account reconciliations.

7. May provide training to other staff, provide feedback to improve processes, and work on special projects. May function as a project/or process lead within the unit.

8. Works independently under general supervision using specialized knowledge to solve technical problems for systems used in multiple locations. Represents the interests and needs of the company in working with external vendors and support services for information technology products. Internal customers include patient financial services staff, Desktop/Network Support Services, and finance and accounting staff. Acts as member of various enterprise EDI departments; processing an average of $18,000,000 per day.

MINIMUM QUALIFICATIONS

High school diploma or equivalent required. Requires knowledge normally evidenced by advanced education in accounting or information systems.

Equivalent experience typically obtained through four or more years of work experience in a financial services or patient account management environment with a broad understanding of patient billing and patient accounting systems. Position requires expert analytical skills. Applicant must have the ability to test, document and implement new application programs over various hardware platforms. Requires the ability to analyze and effectively recognize system problems. Excellent follow through needed to resolve system application issues within a timely manner. Ability to gather and analyze data elements from automated systems to troubleshoot and resolve data or application errors. Must have the ability to plan and organize large data sets. Must have the ability to interact with Banner’s Information Technology staff and guide them to technical solutions for system issues. Requires knowledge of medical terminology and an understanding of the laws associated with confidentiality, credits and collections. Effective communication skills, both verbal and written, and human relations skills are required.

EEO Statement:

EEO/Disabled/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy:

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability