EDI Specialist

🕒 Setembro 3

🌽 Illinois – Remoto

infoinfo

💵 $20 - $21 / hora

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👻 Score fantasma 4%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of Allied Benefit Systems

Allied Benefit Systems

201 - 500 funcionários

Fundada em 1980

🏥 Saúde

💼 Consultoria

📦 Logística

Healthcare • Consulting • Logistics

A Allied Benefit Systems é uma empresa nacional de soluções de saúde que oferece administração de planos de saúde, gestão de cuidados e custos, serviços de rede de prestadores e análise de dados para empregadores, membros e consultores de benefícios. A empresa foca em reduzir os custos de saúde, otimizar o desempenho dos planos e melhorar a experiência dos membros por meio de serviços administrativos, análises e insights, e redes de prestadores personalizáveis.

Descrição

• Retrieve and submit inbound and outbound data • Receive and submit files to and from various vendors daily • Process 837 files and convert .txt files • Prepare and transfer files into the internal programming system for processing and payment • Encrypt and decrypt files • Run queries in Access • Run and review reports in Excel • Conduct eligibility matching using enrollee and member demographics in the internal master database • Route completed claims to internal mailboxes accurately and within timelines • Train EDI Coordinators on new and updated workflows and procedures • Interpret and explain procedures to EDI Coordinators • Conduct departmental internal audits covering staff and external vendors • Handle departmental projects while maintaining assigned workflows • Resolve complex departmental issues with assistance from other departments, staff, or vendors • Provide EDI support to outside trading partners and internal staff • Process failed transactions and resolve missing acknowledgments • Perform other duties as assigned

🎯 Requisitos

• High School Diploma or equivalent required • Data entry speed of 6,000 keystrokes per hour with accuracy • Intermediate knowledge of Word, Excel, and Access • Good problem-solving skills • Analytical skills • Ability to work well independently and within a team environment • Attention to detail and accuracy • Cable broadband or fiber optic internet connection with at least 100 Mbps download and 25 Mbps upload • Ability to work extended periods at a desk and computer

🏖️ Benefícios

• Medical insurance • Dental insurance • Vision insurance • Life insurance • Disability insurance • Generous paid time off • Tuition reimbursement • Employee Assistance Program (EAP) • Technology stipend • Fully remote work • Flexible work-from-home arrangement

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