Provider Electronic Data Specialist I

This is a fully remote position, open to applicants in Idaho, +3 more states.

📋 Description

• Address, respond to, or direct customer inquiries regarding EFT enrollments to resolve issues.

• Conduct EFT validation calls.

• Manage and update the Transaction Enrollment tool on Availity Essentials.

• Revise and maintain internal documentation relating to EFT enrollment and validation.

• Investigate and resolve Availity escalation matters concerning provider portal functionalities and information display.

• Collaborate with business and product owners to research and address issues.

• Record internal customer-reported EFT problems through Remedy and Escalation Tickets.

• Comply with service level agreements for both internal and external customers.

• Assist internal and external customers via telephone, email, Remedy tickets, and Availity Client Service tickets.

• Act as a support resource for both internal and external stakeholders.

• Complete assignments, resolve issues, generate EFT reports, and manage the EFT shared email inbox.

• Conduct EFT testing as needed.

⛳️ Requirements

• Bachelor’s Degree.

• Over 1 year of experience in Provider Customer Service or a technical Help Desk setting, or a comparable combination of education and experience.

• Strong attention to detail, administrative capabilities, and proven organizational skills.

• Proficient with various technical tools and systems across diverse computer and network platforms.

• Familiarity with basic PC hardware, applications/tools, desktop operating systems, advanced hardware, and software functionality.

• Understanding of Availity Essentials.

• Exceptional problem-solving, process analysis, communication, and interpersonal skills.

• Capability to work autonomously, with team members, and across different departments.

• Conceptual knowledge of Electronic Data Interchange (EDI) technology in healthcare transactions.

• Familiarity with ANSI format.

• Ability to make swift determinations and thrive under pressure.

• Maintain a positive and constructive demeanor.

• Adaptable to change and effective in a dynamic environment.

• Outstanding communication skills and a positive phone presence.

• Dedication to customer service.

• Wired internet connection that is not satellite or cellular, with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.

• Access to a personal mobile device for Multi-Factor Authentication (MFA).

• Background check required.

🏝️ Benefits

• Bonus target of 5%.

• Competitive salary.

• Comprehensive benefits package.

• Industry-leading 401(k) with a substantial company match.

• Opportunities for bonuses.

• Medical, dental, and vision coverage for employees and eligible family members, including mental health benefits.

• Annual employer contribution to a health savings account.

• Generous paid time off that varies by role and tenure.

• 10 company-paid holidays.

• Leading retirement plan, including a company match on employee 401(k) contributions.

• Potential discretionary retirement contributions based on company performance, with no vesting period.

• Up to 12 weeks of paid parental leave, subject to eligibility.

• Award-winning wellness programs that reward participation.

• Employee Assistance Fund.

• Commute and parking benefits.

• Work-from-home opportunities.

• Employee resource groups.

• Cambia-supported community outreach initiatives.