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EDI Unit Assistant / Electronic Data Interchange - Medical Claims
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- The EDI Unit Assistant position in the EDI is responsible for all aspects of EDI production for UCSF Medical Center Patient Financial Services (PFS), Medical Group Business Services (MGBS), UCSF Benioff Children's Hospital Oakland (BCHO), Hospice by the Bay, Community Connect and UCSF Physicians Group.
- The EDI production supports all electronic claim production to various payers, including Medicare, Medi-Cal, Anthem Blue Cross, Blue Shield, and Change Healthcare.
- The ERA/EFT processes represent approximately 80% of all inbound payment transactions to UCSF Medical Center, MGBS and BCHO. Frequent contact with all units in Patient Financial Services and other billing groups, as well as, outside entities, such as Health Plans and EDI Clearing Houses, who partner with UCSF in EDI processes.
- Frequent access to the following applications, EPIC/ApEX, CLAREDI, Change Healthcare, WebXtender, Cirius' Billing and Remittance Applications and various payer sites.
- Knowledge of contracts, insurance billing requirements, UB04 claim form, worker's compensation, HMOs, PPOs, capitation, Medicare, Medi-Cal and HIPAA compliance program regulations.
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