Support Specialist EDI
About The Position
At XiFin, a culture of inclusivity is in our very fabric. We believe that this culture not only creates a more equitable and functional workplace, but also enhances our team members' work experiences by promoting creativity, innovation, and collaboration. As a Support Specialist EDI, you will be responsible for coordinating with healthcare payers to manage claims submissions, interpret payer reports, and enhance the efficiency of our EDI operations. The ideal candidate will have a strong understanding of EDI processes, excellent communication skills, and the ability to work collaboratively across departments.
Requirements
- Bachelor’s degree in healthcare administration, information technology, or a related field preferred.
- Minimum of 3 years of experience in EDI support or a similar role within the healthcare industry.
- In-depth knowledge of Medicare/Medicaid policies and EDI standards.
- Strong analytical skills with the ability to troubleshoot complex issues effectively.
- Excellent communication and interpersonal skills to facilitate collaboration across teams.
- Proficiency in MS Office applications (Word, Excel) and EDI-related software.
- Proven ability to manage multiple priorities and work in a fast-paced environment.
Responsibilities
- Oversee the submission of EDI files to healthcare payers and manage the receipt and interpretation of payer reports.
- Update and maintain proprietary systems, ensuring accuracy and compliance with industry standards.
- Analyze and resolve claim issues, including batch and claim rejects, providing guidance to junior team members.
- Monitor payer communications and ensure timely responses to inquiries and issues.
- Maintain comprehensive documentation of EDI processes and updates.
- Collaborate with IT and other departments to implement process improvements and enhance system functionality.
- Assist with training and mentoring entry-level staff and new hires.
Benefits
- Comprehensive medical, dental and vision benefits, including telehealth services.
- Mail-order program for 90-day maintenance medications.
- Health Savings Account (HSA) featuring pre-tax deductions and quarterly company contributions.
- 401k retirement plan with a company match.
- Tuition Assistance program.
- XiFin's BeWell Program, championing physical, mental, financial, and social wellness.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
