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IDX Coordinator in Sunrise, Florida, US at TeamHealth

Date Posted: 7/10/2019

Job Snapshot

Job Description

Join a team of dynamic, results oriented professionals!

Named among “The World’s Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among “Great Places to Work" by Becker’s Hospital Review

  • Career Growth Opportunities
  • Convenience market on site
  • Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
  • 401K program (Discretionary matching funds available)
  • Employee Assistance Program
  • Referral Program
  • Dental plans & Vision plans
  • GENEROUS Personal time off
  • Eight Paid Holidays per year
  • Quarterly incentive plans
  • Business casual dress code
  • Free Parking
  • Free coffee daily
  • Employee of the month awards with monetary gift and parking space
  • Training Programs
  • Fitness Center with personal trainer on site
  • Awesome Facility with terrific amenities
  • Wellness programs
  • Flexible work schedule

POSITION SUMMARY:

The IDX Coordinator is responsible to provide support to the Sunrise Billing Center GE Support Supervisor for the GE system and associated peripheral software applications including, but not limited to DBMS and systems security. These support services include, but are not limited to, maintaining current dictionaries, system security, fee schedule maintenance, and the creation of forms for new variables and elements for start-up business. The IDX Coordinator will also serve as a liaison between the billing center management and the IDX Applications and Programming Departments.

ESSENTIAL RESPONSIBILITIES:

  1. Assists the GE Support Supervisor with the resolution of claims, billing, and systems issues. This includes interpreting, problem solving, and testing solutions relative to reported issues.
  2. Ensures the system is functioning as designed and works with IDX Maintenance to maximize efficiency of the system as new processes are added or existing processes are modified.
  3. Accepts issues and projects from multiple sources, including but not limited to the GE Support Supervisor, the Billing Center Assistant Vice President, Billing Center Management, and carriers regarding billing system dictionary modifications, claim form specifications, fee schedules requests, queries, denial management system, EDI enrollment, and other actions to support the billing process.
  4. Responsible to accurately complete the appropriate Template requests, obtain the appropriate approvals, and test the systems to ensure the modifications are working as requested, and communicate any additional programming required.
  5. Assists with the development, communication, and testing of billing edits (TES and Zclaim) and edit workflows (DMS) to improve claim submission accuracy and follow-up.
  6. Acts as a liaison between Billing Center Management, IDX Maintenance, and Programming, and is responsible to communicate system related issues and reports the status of pending issues.
  7. Processes bulk write-off or FSC transfer requests as requested by the GE Support Supervisor or Management and reconciles the batch transactions to the original request.
  8. Fulfills refile requests in DMS and ETM as well as bulk refiles as directed by the GE Support Supervisor or Management.
  9. Responsible to work invoices in ETM and DMS.
  10. Initiates enrollment for online claim status and online remittance download, electronic media claims, (EMC), electronic remittance advice (ERA), electronic funds transfers (EFT), Zirmed EDI enrollment, and payer direct electronic claim submission (EDI).
  11. Enters and/or verifies provider information in the GE AES system and communicates any claim issues relative to the AES entries to the GE Support Supervisor, Provider Enrollment Department, IDX Applications, and/or insurance carriers to resolve the issues and improve the overall process.
  12. Downloads and analyzes carrier claim form specifications and communicates with the carrier’s EDI Department to problem solve claim form issues.
  13. Formulate and run DBMS Queries to assess volumes for reported issues, process DMS refile requests, or analyze AR claim or billing issues.
  14. Any other tasks as assigned. 

OTHER RESPONSIBILITIES:

  1. Interacts with Corporate Executive Management, Billing Center Management, IDX Applications, Programming, and Billing Center staff.
  2. Facilitates discussions with system users, GE Support Supervisor, IDX Applications, and/or Programming to identify and propose system improvements leading to improved claim filing and follow-up activities as well as to problem solve and generate creative ideas for the use of the GE system.
  3. Reports any detected problems, errors, mistakes, flaws, or other situations that represent potential problems for the billing of claims and statements as soon as they are detected.
  4. Attend and/or facilitate meetings as directed by the GE Support Supervisor
  5. Serves as backup support to the IDX Trainer for IDX User Security and the reporting of critical DMS workflow issues.

 

Job Requirements

POSITION REQUIREMENTS:

Skills

  1. Excellent oral and written communication.
  2. Must be organized, detail oriented, and meticulous with all tasks.
  3. Astute problem solving skills and ability to interrelate and convey information professionally.
  4. Understand physician billing guidelines for commercial and government payers in multiple states.
  5. Medical billing experience with knowledge of the GE system and associated applications.
  6. Excellent analytical skills and ability to work in a structured, fast-paced environment.
  7. Dependable, always conforms to standards for attendance and tardiness.

Education

High school Diploma required.

College education or equivalent experience in business, medical billing, or medical computer systems preferred.

Experience

  1. GE system and ETM experience a plus; extensive system user experience; ability to multi-task.
  2. Ability to work with the Fee Schedules and PCM application for updating charge fees, reimbursement fee schedules, and downloading information and reports in the system.

WORKING CONDITIONS:

  1. Job performed in a bright fast-paced modern office setting.
  2. Prolonged work on a PC.
  3. Physical requirements include but are not limited to sitting for extended periods of time, walking, and bending.
  4. Significant workload that may require after hours work.  

Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.