EDI Analyst I, B2B SaaS

This is a fully remote position, open to applicants in United States.

📋 Description

• Provide assistance to clients, frequently interacting with business owners, through chat and email support for 837/835-related issues.

• Develop and sustain an in-depth understanding of RCM/Clearinghouse functionalities.

• Address incoming customer inquiries via the single-channel support system.

• Collaborate independently with rehab therapy business owners and billing teams to fulfill specific client requirements.

• Resolve inquiries related to support tickets, including clearinghouse rejections, EDI Rules, and assistance with ERA/EDI applications.

• Identify opportunities to enhance the enrollment process and support for EDI/ERA.

• Comprehend customer-specific needs, including NPI/TIN billing combinations, payer mix, and distinct billing regulations.

• Ensure that the ERA/EDI enrollment process adheres to the onboarding timeline.

• Provide enrollment documentation and assistance upon request.

• Monitor accounts for enrollment-related rejections or complications throughout the implementation phase.

• Create innovative strategies to enhance EDI/ERA processes and boost customer satisfaction.

⛳️ Requirements

• Proficient understanding of X12 message formats (837P, 837I, 835, 276, 277).

• Comprehensive knowledge of segments and looping/grouping structures.

• Experience executing the Healthcare EDI/ERA enrollment process from initiation to completion for Part A and/or Part B facilities.

• Background as an EDI Analyst, addressing clearinghouse/payer-related rejections.

• Strong and effective communicator with exceptional verbal and written skills, able to clarify complex EDI/ERA processes in an understandable way during discussions with business owners.

• Proven extreme attention to detail and strong organizational skills.

• Ability to meet deadlines with a heightened sense of urgency.

• Excellent troubleshooting and analytical capabilities.

• Self-motivated, capable of multitasking, and able to work independently as well as collaboratively in a team environment.

• Demonstrated ability to operate autonomously, taking the initiative to identify and resolve issues before they affect our clients.

• Experience in a startup and/or B2B SaaS technology organization.

• Familiarity with any aspect of clinical development or medical billing operations.

• Experience with Zendesk or comparable customer support software.

• Knowledge of healthcare data/systems, ideally related to clinical/operational clinical trial data/systems.

• Understanding of e-clinical systems and technologies (e.g., EMR, RTM, HEP, CRM, HIEs, etc.).

• Must be legally authorized to work in the United States.

• Must be physically located within the United States.

🏝️ Benefits

• Competitive salaries.

• Remote/hybrid work environment.

• Potential equity compensation for exceptional performance.

• Flexible PTO.

• Company-wide sponsored lunches.

• Company-paid disability and life insurance benefits.

• Company-paid family and medical leave.

• Medical, dental, and vision insurance benefits.

• Discounted pet insurance.

• FSA/DCA and commuter benefits.

• 401k plan.

• Complimentary subscription to digital fitness classes and wellness content.

• Recovery suite at HQ – features a cold plunge, sauna, and shower.