EDI Billing Analyst II

🔥 22 hours ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $60k - $75k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Billing Specialist

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Labcorp

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1969

💊 Pharmaceuticals

🧬 Biotechnology

💰 Post-IPO Debt on 2019-06

Healthcare • Pharmaceuticals • Biotechnology

Labcorp is a leading global life sciences company that provides comprehensive clinical laboratory and end-to-end drug development services. The company offers a wide range of diagnostic tests and services for patients, providers, and biopharmaceutical companies. Labcorp specializes in areas such as oncology, women's health, neurology, and genetics, offering both routine and specialized laboratory testing. It supports healthcare systems and organizations with clinical lab testing, health assessments, and employee wellness programs. Labcorp also plays a significant role in the biopharma sector, providing nonclinical research, central laboratory services, and consulting for drug development and commercialization. With their commitment to science and innovation, Labcorp aims to improve health and change lives worldwide.

📋 Description

• Leads complex projects and issue resolution efforts • Trains and mentors Billing EDI Analysts • Liaison with payers and vendors as well as reimbursement analysts and Payer Solutions members • Educate colleagues to ensure successful transmission of required billing data • Conduct detailed data analysis of submissions issues and defects while using multiple sources to identify resolution • Prompt pursuit and escalation as appropriate of payer/vendor issues with claim submission success • Identify alternate paths when vendor/payer relationships change or when vendor issues prohibit successful claim adjudication timely • Determine appropriate test cases required for evidence of successful transmission of billing data; requires understanding of payer/vendor specific business and platforms • Review 837 files and payer response files (TA1, 999, 277 and proprietary) to validate quality and appropriate outcomes of EDI transmission • Convey updates to management and business stakeholders on issues and project status • Maintain payer and vendor confidence in Labcorp and staff • Support colleagues when there are scheduling conflicts • Identify problems within established timeframes to determine and communicate impact • Determine and communicate solutions to roadblocks • Interact and collaborate with team members at all levels, including senior management • Ability to handle multiple projects simultaneously • Will work independently, as well as in a team environment • Build and cultivate strong working relationships over the phone and through email • Support internal department projects and functional areas • Maintain accurate and up to date documents such as logs, reports, spreadsheets • Develop process/documentation material that is easily understood by end users (SOPs) • Participate in projects, meetings, and training activities

🎯 Requirements

• Bachelor's degree with 5 years relevant experience • > 5 years of billing or EDI experience preferred • Knowledge of 837, 999, TA1, 277 files • Knowledge of medical billing • Mentoring/Training experience

🏖️ Benefits

• Medical • Dental • Vision • Life • STD/LTD • 401(k) • Paid Time Off (PTO) or Flexible Time Off (FTO) • Tuition Reimbursement • Employee Stock Purchase Plan