EDI Representative Onsite Houston, Texas

Company Description

USPh (U.S. Physical Therapy) is one of the largest publicly traded, independent operators of leading physical and occupational therapy clinics dedicated to enhancing patient outcomes through a collaborative, partnership-driven model. We partner with over 700 clinics nationwide, across 44 states, offering them the resources, operational support, and clinical expertise needed to thrive in today’s healthcare landscape.

By aligning with the USPh network, our partners benefit from operational support and a shared commitment to evidence-based care, all while maintaining their autonomy and local identity.

We believe that the strength of our partnerships lies in the individuality of each partner. Our “OnePartner” model is designed to allow clinics to maintain their unique culture and identity, empowering them to foster meaningful relationships within their communities. By preserving their local roots, clinics can continue to build trust with patients and referral sources, while attracting top talent who value the chance to be part of a personalized, community-centered environment.

Job Description

We are searching for an individual who wants to join our exciting company as a EDI Support Representative. The Individual will be responsible for providing support to the Electronic Data Interchange (EDI) department and our USPh therapy clinics in accordance with USPh policies and payor specific guidelines. This position is based out our Corporate Office on the West side of Houston.

Essential Duties and Responsibilities include the following:

PRIMARY RESPONSIBILITIES

• Completes payor enrollment forms accurately and timely, with appropriate signatures
• Tracks each enrollment form to completion, following up with Payor as necessary
• Responds to telephone calls and/or emails in a timely manner
• Reviews ZirMed Medical Claims rejections on a USPh summary basis to highlight/report on Clinics that may have backlogs
• Answering the EDI Help Desk phone line, making sure to document, track and monitor support requests to ensure a timely resolution
• Provide technical support to end users on any straightforward issues related to ANSI 837P and 837I formats
• Identify, research and resolve technical problems related to rejected claims
• Reports to management any specific trends or issues

OTHER RESPONSIBILITIES

• Responds to management special project requests
• Provides coverage as needed for other departmental personnel
• Supports and maintains information security measures as appropriate to the position, including maintaining the highest standards of confidentiality to protect patient privacy and company’s proprietary information

Qualifications

Education and/or Experience:

REQUIRED:

• High School Diploma or equivalent
• A minimum of one (1) years’ experience in a medical billing and collection environment
• Experience with Microsoft® Outlook and Excel software
• Ability to effectively communicate verbally and in writing
• Ability to multi task with strong organizational and interpersonal skills
• Ability to stay organized and to multi task
• Ability to read and comprehend simple instructions, short correspondence
• Ability to effectively present information in one-on-one and small group situations
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
• Medical payment processing.
• Ability to apply common sense understanding to carry out written or oral instructions.
• Ability to deal with problems involving a few concrete variables in standardized situations.

PREFERRED:

• Experience with ZirMed® Claims Clearinghouse software
• Experience with Adobe Acrobat Pro® software
• Experience with Track-It® Work Order software
• Experience with Raintree® practice management software
• Knowledge of ANSI Code Set as it applies to 837P and 837I healthcare billing
• Microsoft® Word software

Additional Information

What You’ll Get:

• Competitive compensation and bonus.
• Comprehensive benefits.
• Generous paid time off with holidays.
• Continuous mentoring to further your career path.
• Great close-knit team environment. We work hard, but we have fun!