EDI Specialist

New York, NY Part Time

POSTED ON 5/22/2024

Job Posting for EDI Specialist at General Vision Services

EDI Specialist

Half remote/ Half in office (fully ONSITE until 100% trained- estimate 3-6 months)

Responsibilities

Provide ongoing support of EDI files for internal and external parties
Prioritize and document EDI needs
Communicate with users, operations and developers on the status of EDI projects and changes
Manage and control client expectations through regular communication, status reports and timely quality deliverables
Analyze multiple clients rejections
Develop rejection files daily
Set up EDI/ERA and EFT for plans, locations and doctors
Identify EDI errors
Analyze outgoing claims, classify and report back on accepted/rejected status.
Analyze, report back to management and provide top rejection reasons for different payers for all clients.

Qualifications

Excellent interpersonal and multitasking skills are required
Excellent problem-solving skills
Good analytical skills and the ability to easily read and understand complex documents and procedures are necessary as well.
Experience working with medical billing systems, trading partner and/or claims processing
Knowledge of EDI/ERA enrollments
Proven experience with HIPAA compliance and medical terminology
Proven excel skills

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