Workers Comp EDI State Filing

About the position

The EDI role is a dynamic role where the EDI specialist will be supporting the department by submitting claims to the State in a timely manner. The EDI associate is responsible for entering our FROI and SROI reports into the EBIX system in a timely and accurate manner while meeting production volume expectations. This position is a remote work opportunity, for Virginia residents only, schedule M-F 8am-5pm EST.

Responsibilities

• Create and submit EDI First Report of Injury and Subsequent Reports (Using our vendor Ebix's web based portal WCIRS)
• Research Workers Compensation Claims in applicable claim system for information needed to complete EDI reports.
• Review state websites for filing information, potential penalties or fines.
• Analyze any EDI errors and make necessary corrections as stipulated by the state requirements.
• Compile all data using state EDI reporting requirements and time frames.
• Remain current on EDI rules and requirements, as well as IAIABC release updates.
• Communicate with claims adjusting staff or other necessary internal staff regarding missing necessary EDI filing data.
• Ensure submissions are accepted.
• Utilize all resources to resolve rejected reports.
• Meet production standards or expectations daily.
• Maintain HIPAA/Privacy compliance in all aspects of communications.
• May provide assistance in training of new employees.
• Provide general support.
• Punctual and consistent attendance is required in this position.
• Additional duties as assigned.

Requirements

• High school diploma or equivalent
• Data Entry experience
• Proficient in Microsoft Office suite, mainly Outlook, Excel, WORD
• Ability to do critical thinking, analyzing data and is detail oriented
• Daily prioritization and balancing fluctuating workloads
• Ability to read and comprehend excel worksheets along with strong math skills
• Paperless entry with 2 monitors with ability of multitasking between numerous applications
• Exceptional organizational skills and ability to work independently
• Strong communication skills both verbal and written
• Ability to work in a fast paced/production environment

Benefits

• Medical (HDHP) w/Pharmacy
• Dental
• Vision
• Long Term Disability
• Health Savings Account
• Flexible Spending Account Options
• Life Insurance
• Accident Insurance
• Critical Illness Insurance
• Pre-paid Legal Insurance
• Parking and Transit FSA accounts
• 401K
• ROTH 401K
• Paid time off