Analyst designing and implementing strategies for organizational growth focusing on digital trends. Contributing to the strategic alignment for sustainability and profitability.
About the role
- 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
- Paid parental leave (including maternity + paternity leave)
- Education assistance opportunities and free LinkedIn Learning access
- Free mental health and family planning programs, including adoption assistance and fertility support
- 401(K) program with company match
- Pet insurance
- Employee resource groups
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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