Contract Edi Analyst Remote Jobs in Raleigh, NC (NOW HIRING)

Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients.

*Backgrounds with identifiable CareLogic and Waystar experience with be reviewed first.

The Senior PM Analyst is responsible for providing advanced support, analysis, and optimization of the clinic's practice management (PM) and clearinghouse systems. This role acts as a subject matter expert for Waystar, CareLogic, and Medgen, ensuring that scheduling, registration, coding, and billing-related workflows run efficiently. The Senior Analyst will partner with clinical, operational, and administrative teams in medication assisted treatment setting to improve patient access, streamline operations, and ensure compliance with state and federal regulations

Must have to apply:

• EMR system configuration is required.

• Must have leadership skills and have managed in current role

• Must have experience creating PowerPoint decks for leadership presentation

• Must have medical billing experience

• Must have experience with Waystar clearinghouse & EDI files

• Must have web-based billing software and Electronic Health Systems.

The Senior PM Analyst is responsible for providing advanced support, analysis, and optimization of the clinic's practice management (PM) and clearinghouse systems. This role acts as a subject matter expert for Waystar, CareLogic, and Medgen, ensuring that scheduling, registration, coding, and billing-related workflows run efficiently. The Senior Analyst will partner with clinical, operational, and administrative teams in medication assisted treatment setting to improve patient access, streamline operations, and ensure compliance with state and federal regulations.

Responsibilities include:

• Managing PM Analyst

• Working with VP, Director and Business Analysts

• Maintain payor list

• Maintain billable service mapping.

• Work assigned projects independently and tracks progress to meet deadlines.

• Assisting with legacy system preparation & cleanup.

• Troubleshoot RCM related tickets.

• Protect patients' rights by maintaining the confidentiality of personal and financial information.

• Assist in companywide initiatives as part of the team providing direction as it relates to Implementation, software set-up, and maintenance.

• Manage and field questions from key stakeholders within the company as it relates to RCM onboarding, process changes, and operations.

• Evaluate process, make process improvements, and update process changes

• Attend, participate in and facilitate meetings as necessary.

• Foster effective and positive business relationships with all parties.

• Document changes, workflows, and processes.

• Assist to Implement and maintain EMR, Clearinghouse, and RCM Services workflows.

• Provide support to the RCM department as the subject matter expert as it relates to EMR functionality of billing & collections.

• Other duties as assigned.

• Adhere to HIPAA laws.

• 2 years' experience with medical billing, preferred in substance abuse and/or primary care.

• Bachelor's degree preferred or will take equivalent work experience.

• Excellent verbal and written communication skills.

• An above-average aptitude with internet/computer use.

• Prior experience working with Carelogic is ideal

• Medical, Dental, and Vision Insurance

• PTO

• Variety of 401K options including a match program with no vesture period

• Life Insurance

• Short/Long Term Disability

• Paid maternity/paternity leave

• Mental Health Day

• Calmsubscription for all employees