EDI Analyst ensuring timely and accurate posting of claim submissions for healthcare payments. Collaborating with trading partners and assisting EDI production team members in a corporate environment.
Responsibilities
Ensure 835 transactions are received from trading partner’s FTP/website once available
Ensure payers are accurately identified from inbound 835 transactions
Ensure that 835s transactions are syntactically correct
Review trading partner emails to ensure issues/changes are communicated and addressed
Contribute to the continuing enrichment of Route/Payer Account contacts in Salesforce
Assist team members with production issues
Research missing/delayed 835 delivery across multiple platforms
Work with EOB Conversion vendor to troubleshoot file issues
Research claim and file delivery issues in multiple legacy platforms
Research and address internal requests for assistance received in the ‘EDI Batch Queue’ and ‘EDI Practice Insight Queue’
Perform other duties as assigned by leadership within the area of responsibility and control
Requirements
Excellent written and verbal communications skills
Excellent analytic and problem solving skills
Knowledge of Windows-based computer environment, including MS Office and related programs
Active ownership and responsibility regarding duties and task (sense of urgency)
Ability to work unsupervised in a corporate environment
Experience with healthcare claims transactions
Technical support experience
EDI X12 healthcare transactions experience
Excel
Benefits
Competitive total rewards (base salary + bonus, if applicable)
Customizable benefits package (3 medical plans with Health Saving Account company match)
Generous paid time off for non-exempt team members, starting with 3 weeks + 13 paid holidays, including 2 personal floating holidays
Flexible time off for exempt team members + 13 paid holidays
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