EDI Support Specialist

Job Description

Seeking an EDI Support Specialist to bolster daily operations by monitoring claims submissions and remittance processing. This role involves assisting with accounts receivable, claim corrections, and authorization workflows. Collaborate with the Claims and Authorization departments, especially during check runs. Work alongside the EDI & Operations Analyst on projects and system enhancements. Responsibilities include reviewing EDI files for errors, tracking payer issues, maintaining records, and offering support during peak times.

Qualifications

1. HS diploma or GED required. 2. One year of related experience, preferably in an EDI role. 3. Ability to execute SQL scripts. 4. Working knowledge of CPT codes and medical billing. 5. Basic understanding of AR processes. 6. Familiarity with 277, 834, 835, 837, and 999 EDI transactions. 7. Strong organizational and time-management skills. 8. Detail-oriented with high accuracy. 9. Ability to communicate effectively across departments. 10. Experience working with health insurance companies preferred.