EDI Analyst I (B2B SaaS)

Prompt

3d•$60,000 - $70,000•Hybrid

About The Position

Prompt is revolutionizing healthcare by delivering highly automated and modern software to rehab therapy businesses, the teams within, and the patients they serve. As the fastest growing company in the physical therapy EMR space and the new standard in healthcare technology, we’re looking to bring on an EDI Analyst I to help contribute to the continued growth of our EDI/ERA Department. This role is an unprecedented opportunity to have an immense impact in our industry leading EDI/ERA Department that ranks 40 Net Promoter Score points higher than our competition. We’re looking for someone scrappy, willing to bring new ideas, take on big challenges, and is into doubling down on what works. We’re doing something special here and this role will be critical in taking Prompt to the next level.

Requirements

Working knowledge of X12 message formats (837P, 837I, 835, 276, 277)
Detailed understanding of segments and looping/grouping structures
Experience performing Healthcare EDI/ERA enrollment process from start to finish for Part A and/or Part B facilities
Experience as EDI Analyst, troubleshooting clearinghouse/payer related rejections
Clear and effective communicator with excellent verbal and written skills, capable of explaining complex EDI/ERA processes in an understandable manner during calls with business owners
Demonstrated extreme attention to detail and organizational skills
Ability to meet deadlines with a strong sense of urgency
Excellent troubleshooting and analytical skills
Self-motivated with the ability to multitask and work independently as well as in a team setting
Proven ability to work autonomously, taking initiative to identify and solve problems before they impact our clients. This includes devising innovative strategies to improve our EDI/ERA processes and customer satisfaction.

Nice To Haves

Prior startup and/or B2B SaaS technology organization experience
Experience in any function of clinical development or medical billing operations (clinical operations, data management, biostatistics, system management, information management, medical monitoring, RCM follow up, claim review and submission, etc.)
Experience with Zendesk or similar customer support software
Experience with healthcare data/systems, ideally clinical/operational clinical trial data/systems
Knowledge of e-clinical systems and technologies (e.g. EMR, RTM, HEP, CRM, HIEs, etc)

Responsibilities

Develop and maintain a deep understanding of our RCM/Clearinghouse capabilities to effectively respond to incoming customer inquiries across our single-channel support system
Work independently with rehab therapy business owners and billing teams leveraging creative solutions to meet our clients' unique needs
Resolve common support ticket inquiries in a timely manner. (Clearinghouse rejections, EDI Rules, ERA/EDI Application Help, etc.)
Improve and advocate for customer experience by identifying opportunities to enhance our enrollment process and provided EDI/ERA support
Understand customer needs on a case by case basis to ensure a successful transition (NPI/TIN billing combinations, payer mix, unique billing rules)
Ensure ERA/EDI Enrollment Process is underway according to onboarding schedule
Provide customers with relevant enrollment paperwork and provide support if requested
Monitor accounts for rejections or issues specific to enrollment related items throughout the client's implementation