EDI Specialist I

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

📋 Description

• Deliver technical analysis and support to both internal and external customers regarding EDI-related challenges, which encompass enrollment, claims, payments, and clearinghouse operations.

• Lead, coordinate, and manage process enhancements for EDI implementations.

• Engage in the design and evaluation of new applications and strategies for EDI systems integration.

• Collaborate with Development and QA teams to troubleshoot and resolve various issues.

• Address EDI inquiries from providers and internal departments.

• Partner with third-party vendors, clearinghouses, and payers to resolve operational and transactional challenges.

• Maintain regular communication with vendors to deliver client solutions.

• Provide training to clients and support the presales team with product feature demonstrations.

• Keep precise records and files, track documents, follow up, and inform clients of upcoming deadlines.

• Investigate and resolve client-related issues.

• Recognize opportunities for process improvements and contribute to enhancement initiatives.

• Undertake additional responsibilities that support the overall objectives of the position.

⛳️ Requirements

• Bachelor's degree, or any combination of education and experience that meets the necessary qualifications.

• A minimum of 1 year of experience in software implementation or project management.

• At least 1 year of experience using NextGen PM or a comparable practice management software solution.

• 2+ years of experience in customer service.

• Familiarity with claims processing.

• Experience in product training.

• Basic knowledge of networking protocols, ISPs, internet security, and EDI standards.

• Understanding of various products and their multiple levels of benefits.

• Competence with PCs and Windows-based environments.

• Technical proficiency, problem-solving skills, research capabilities, analytical thinking, communication skills, organizational skills, and attention to detail.

• Ability to juggle multiple tasks and prioritize effectively in a fast-paced environment.

• Capacity to utilize tools and resources to ensure functions are efficient, accurate, and timely.

• Skill in navigating a computer while on the phone.

• Ability to read and interpret X12 raw data files.

• Proficiency in using multiple online portals.

• Capability to work remotely in Georgia.

🏝️ Benefits

• [List benefits here]

• [List additional benefits here]