Provider Electronic Data Specialist I

Cambia Health Solutions • Portland, OR

6d • Remote

About The Position

Provider Electronic Data Specialist I Work from home within Oregon, Washington, Idaho, or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For: Every day, Cambia’s dedicated team of Provider Electronic Data Specialists are living our mission to make health care easier and lives better. As a member of the Provider Contracting and Business Operations team , the Provider Electronic Data Specialist will support use of Electronic Data Interchange (EDI) technology in the provider community to facilitate EDI functions and automatic data processing solutions to increase our value to the provider community. Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit.

Requirements

• Bachelor’s Degree and 1+ years of experience in Provider Customer Service or technical Help Desk environment or equivalent combination of education and experience.
• Attention to detail, administration and demonstrated organizational skills required.
• Proficient in the use of many technical tools and knowledgeable of many systems running on a variety of computer/network platforms.
• Knowledge in the use of basic PC hardware, applications/tools, desktop operating systems, advanced hardware, and software functionality, Availity Essentials etc.
• Excellent problem-solving processes analysis, communication, and people skills.
• Demonstrates the ability to work independently, with team members and other departments .
• Conceptual understanding of electronic data interchange (EDI) technology as it applies to health care transactions, including ANSI format knowledge.
• Ability to make determinations quickly and work well under pressure.
• Ability to maintain a positive and constructive attitude.
• Demonstrates ability adapt to change and work effectively in a dynamic work environment.
• Excellent communication skills, a positive phone presence and unwavering commitment to customer service are essential.

Responsibilities

• Fields, answers or refers customer inquiries for problem resolution about EFT enrollments
• Performs EFT validation calls, processes and updating Transaction Enrollment tool on Availity Essentials.
• Updates/maintains internal documents pertaining to EFT enrollment and validation process.
• Responsible for researching and resolving Availity escalation issues that involve the provider portal function and display of information.
• Works closely with the business and product owners to help research and resolve issues.
• Documents all internal EFT customer-reported problems via Remedy and Escalation Tickets.
• Adheres to service level agreements for both internal or external customer
• Responsible for customer support through direct interaction with internal/external customers by telephone, email, Remedy tickets, Availity Client Service tickets, etc.
• Serve as a support resource internally and externally.
• Accountable for completion of tasks, problem resolution, EFT reporting, maintaining EFT shared email inbox, etc.
• Perform EFT testing when required.

Benefits

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account.
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
• Award-winning wellness programs that reward you for participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level