Specialist I, EDI

NextGen Federal Systems•Remote GA, GA

About The Position

The Specialist I, EDI provides technical analysis and support to both internal and external customers on EDI-related issues (i.e., electronic exchange of data including enrollment, claims, payments, and clearinghouse activities). This role participates in the design and review of new applications and integration strategies of EDI systems, and works closely with Development and QA to troubleshoot and resolve issues. The Specialist I, EDI also responds to inquiries relating to EDI from providers and internal departments, and collaborates with third-party vendors, clearinghouses, and payers to resolve operational and transactional issues. Additionally, this role involves training clients, assisting the presales team with product demonstrations, maintaining accurate records, researching and resolving client issues, and identifying opportunities for process improvement.

Requirements

Bachelor's degree or any combination of education and experience which would provide the required qualifications for the position.
1+ year working with software implementation or project management.
1+ year use NextGen PM or similar practice management software solution.
2+ years of Customer Service experience.
Experience with Claim Processing.
Experience with product training.
Fundamental knowledge of networking protocols, ISP's and internet security, and EDI standards.
Knowledge and understanding of various products and multiple levels of benefits within each product.
Proficient with PCs and in Windows based environments.
Technical expertise.
Problem solving skills.
Research skills.
Analytical skills.
Communication skills.
Organized with attention to detail.
Ability to manage multiple tasks and prioritize in a fast-paced environment.
Ability to utilize tools and resources to ensure that functions are efficient, accurate, and timely.
Ability to navigate a computer while on the phone.
Ability to read and understand X12 raw data files.
Ability to use multiple online portals to complete responsibilities.

Responsibilities

Provides technical analysis and support to both internal and external customers on EDI-related issues (i.e., electronic exchange of data including enrollment, claims, payments, and clearinghouse activities).
Leads, coordinates, and administers key process improvements to EDI implementations.
Participates in the design and review of new applications and integration strategies of EDI systems.
Works closely with Development and QA to troubleshoot and resolve issues.
Responds to inquiries relating to EDI from providers and internal departments.
Collaborates with third-party vendors, clearinghouses, and payers to resolve operational and transactional issues.
Communicates with vendors frequently to provide client solutions.
Trains clients and assists the presales team as needed with demo product features to potential clients.
Maintains all records and files with accuracy; tracks and follows up on documents and notifies clients of upcoming due dates.
Researches and resolves client issues.
Identifies opportunities to improve processes and contributes to the improvement process.
Performs other duties that support the overall objective of the position.