Sr. Support Specialist EDI

XIFIN • Dallas, TX

95d • $17 - $25

About The Position

We are seeking a Highly skilled Senior Support Specialist EDI to join our innovative team. In this pivotal role, you will lead the coordination with healthcare payers, manage claims submissions, and interpret payer reports to drive the efficiency and effectiveness of our EDI operations. The ideal candidate will possess extensive knowledge of EDI processes, exceptional analytical and communication skills, and a proven track record of collaboration across departments.

Requirements

• Bachelor’s degree in healthcare administration, information technology, or a related field is strongly preferred; advanced degrees or certifications are a plus.
• Minimum of 5 years of experience in EDI support or a similar role within the healthcare industry, with demonstrated leadership capabilities.
• Extensive knowledge of Medicare/Medicaid policies and EDI standards, with the ability to interpret and apply regulatory changes effectively.
• Proficient in MS Office applications (Word, Excel) and EDI-related software; experience with EDI integration and automation tools is a plus.

Nice To Haves

• Exceptional analytical skills and problem-solving abilities, with a talent for troubleshooting complex issues and developing strategic solutions.
• Outstanding communication and interpersonal skills, with a proven ability to facilitate collaboration across diverse teams and stakeholders.
• Ability to manage multiple priorities, thrive in a fast-paced environment, and lead projects to successful completion.

Responsibilities

• Lead the oversight of EDI file submissions to healthcare payers and manage the receipt and interpretation of payer reports, ensuring compliance with regulatory standards.
• Strategically update and maintain proprietary systems, enhancing accuracy and alignment with industry best practices.
• Analyze complex claim issues, including batch and claim rejects, and provide mentorship and guidance to junior team members in resolving these challenges.
• Monitor payer communications, ensuring timely and effective responses to inquiries and issues while fostering strong relationships with stakeholders.
• Maintain and enhance comprehensive documentation of EDI processes, updates, and best practices for continuous improvement.
• Collaborate with IT and cross-functional teams to identify, develop, and implement process improvements and system enhancements that drive operational efficiency.
• Facilitate training sessions and mentorship for entry-level staff and new hires, promoting a culture of knowledge sharing and professional development.

Benefits

• Comprehensive health benefits including medical, dental, vision, and telehealth
• 401(k) with company match and personalized financial coaching to support your financial future
• Health Savings Account (HSA) with company contributions
• Wellness incentives that reward your preventative healthcare activities
• Tuition assistance to support your education and growth
• Flexible time off and company-paid holidays
• Social and fun events to build community at our locations!

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Bachelor's degree
• Number of Employees: 501-1,000 employees