Job Description
The EDR Specialist supports the Accounts Receivable department by ensuring timely payments from all responsible parties. This involves verifying billing and case party information, generating accurate invoices, promptly addressing EORs (Explanation of Benefits) and objections, and coordinating with carriers in cases of delayed payment within 1–365 days from the service date. Compliance with HIPAA, state, and federal document security regulations is integral to this role.
Responsibilities
- Verify billing and case party information to facilitate accurate invoicing.
- Issue compliant and complete invoices to ensure prompt payment processing.
- Respond promptly to EORs and objections to resolve payment discrepancies.
- Engage with carriers when payments are delayed beyond acceptable timelines.
- Identify and resolve billing issues, discrepancies, and objections.
- Effectively handle varying billing tasks and ensure accurate data entry.
- Utilize strong phone skills to communicate effectively with stakeholders.
- Ensure timely submission and follow-up of all billing-related documentation.
- Safeguard patient and claim information to ensure privacy and compliance with HIPAA, state, and federal regulations.
- Collaborate with other professionals, such as bill reviewers, claims adjusters, and Accounts Receivable team members.
- Interact with insurance companies as needed.
- Perform other duties as required.
Experience, Skills, and Abilities Education and/or Experience
- High school diploma or equivalent is required.
- 1+ years of previous customer service or accounts receivable experience strongly preferred.
- 1+ years of experience in the workers' compensation field, especially with a focus on workers' compensation copy service billing, strongly preferred.
- Experience using medical billing software and electronic health record (EHR) systems is a plus.
Skills
- Excellent written communication skills, including proofreading, syntax, and grammar.
- Typing speed of at least 35 WPM with 90% accuracy.
- Problem-solving skills and keen attention to detail.
- Ability to work both independently and as part of a team.
- Ability to learn new tasks as needed.
- General computation skills, including the use of a calculator.
Technology
- Proficient using a computer, business phone, office software, video conferencing, and other computer programs.
- Experience with Google Workspace (Docs, Sheets, Calendar, Gmail, etc.) and Microsoft applications.
- Familiarity with EAMS, DaisyBill, and MerusCase is a plus.
- Familiarity with spreadsheet and database software for data entry, tracking, and managing billing and objection data.
This is a temporary position with an expected duration of 4 months.
Job Types: Full-time, Temporary
Contract length: 4 months
Pay: $22,000.00 - $25,000.00 per hour
Work Location: Remote
