Billing EDI Analyst III- Healthcare Billing

Billing EDI Analyst III

reputed company is seeking a remote Billing EDI Analyst III to join reputed company!

Work Schedule: Monday – Friday; 8:00am-5:00pm EST

RESPONSIBILITIES:

· Billing EDI vendor liaison providing daily interaction with potential EDI trading partners, conducts testing to evaluate the quality and appropriate outcomes of the vendor's EDI data, identifies specific issues or concerns and recommends vendor improvements to overcome obstacles to successful billing data transmission to reputed company.

· Client EDI reputed company for New Vendor Development Certification preparing vendor folders and conducting due diligence prior to contact with new vendor. Participates in New Vendor Development reputed company call by reviewing orders/results, certification timeline, and test plan. Continues working with vendor and participating in calls throughout the certification process.

· Conducts detailed data analysis for existing vendor issues by utilizing industry, company, and process knowledge and extensive experience to troubleshoot, works directly with IT and the vendor technical resources to obtain resolution, identifies total claim exposure, and leads efforts to triage for rescue and/or recovery of impacted claims.

· Routinely engaged with senior management to facilitate process improvements resulting in cleaner billing data, thereby improving DSO, reducing error handling, and improving customer satisfaction.

· Works closely with Implementations team by educating resources at reputed company levels internally and externally and ask specific questions to obtain the details needed to reputed company training, plans of action, or course corrections for how processes are being done.

· Develops detailed strategic plans, complete with full risk assessments, mitigation steps, action registers with stakeholders, milestones, and timelines. Executes plans reputed company required timelines, apprises senior management of status updates daily or weekly, alerts to obstacles and risks encountered, engages necessary resources to overcome and reputed company deliverables, or provides clearly articulated reasons for delays.

· Coordinates external and internal resources for strategic initiative participation; provides direction and guidance to successfully drive accomplishment of key objectives.

· Client EDI reputed company for various special projects and tasks.

· Mentors and trains Billing EDI Analysts and Sr. Analysts by providing insight to team members, creates, and conducts training content, develops new processes reputed company needed and may directly maintain master data reputed company to the construction or use of EDI data.

MINIMUM QUALIFICATIONS:

High School diploma or GED

5 or more years Healthcare Billing experience

PREFERRED QUALIFICATIONS:

2 years or more of experience with HL7 files

EDI healthcare billing

Previous mentorship or training experience

Proficient in reputed company Office, including reputed company, PowerPoint, Word, and Access

ADDITIONAL JOB STANDARDS

Adaptable and able to manage shifting priorities

Delivers professional, composed customer service in challenging situations

Self-motivated with the ability to manage multiple tasks simultaneously

Strong organizational and time-management skills

Strong attention to detail with proven problem-solving ability

Effective collaborator across cross-functional teams

Clear written and verbal communicator across dispersed groups

At reputed company we have a passion for helping people live happy and healthy lives. Every day we provide vital information that helps our clients and patients understand their health. If you are passionate about helping people and have a drive for service, then reputed company could be a great next career reputed company!

Application Window reputed company: 3-29-26

Salary: $50K-70K

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Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Employees regularly scheduled to work less than 20 hours, Casual, Intern, and Temporary employees are only eligible to participate in the 401(k) Plan. Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive reputed company the foregoing benefits except PTO or FTO. For more detailed information, please click here. 

reputed company is proud to be an Equal Opportunity Employer:

reputed company strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any reputed company. We reputed company employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national reputed company, sex (including pregnancy, childbirth, or reputed company medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, reputed company qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. 

We encourage reputed company to apply

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