Specialist I, EDI
RemoteUnited States
Job Summary
Provide technical analysis and support to internal and external customers on EDI-related issues, including enrollment, claims, payments, and clearinghouse activities. Lead, coordinate, and administer key process improvements for EDI implementations while participating in the design and review of new application and integration strategies. Collaborate with Development, QA, third-party vendors, clearinghouses, and payers to troubleshoot, resolve operational and transactional issues, and train clients on product features. Maintain accurate records, track documents, and notify clients of upcoming due dates while researching and resolving client inquiries.
Required Qualifications
- Bachelor's degree
- 1+ year working with software implementation or project management
- 1+ year use NextGen PM or similar practice management software solution
- 2+ years of Customer Service experience
- Experience with Claim Processing
- Experience with product training
- Fundamental knowledge of networking protocols
- Knowledge of ISP's and internet security
- Knowledge of EDI standards
- Knowledge and understanding of various products and multiple levels of benefits within each product
- Proficient with PC's and in Windows based environments
- Technical expertise
- Problem solving
- Research
- Analytical
- Communication
- Organized with attention to detail
- Ability to manage multiple tasks and prioritize in a fast-paced environment
- Ability to utilize tools and resources to ensure that functions are efficient, accurate, and timely
- Ability to navigate a computer while on the phone
- Ability to read and understand X12 raw data files
- Ability to use multiple online portals to complete responsibilities
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