EDI Specialist

đź•’ September 3

🌽 Illinois – Remote

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đź’µ $20 - $21 / hour

⏰ Full Time

🟡 Mid-level

đźź  Senior

đź‘» Ghost score 0%

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Logo of Allied Benefit Systems

Allied Benefit Systems

201 - 500 employees

Founded 1980

🏥 Healthcare

đź’Ľ Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Allied Benefit Systems is a national healthcare solutions company that provides health plan administration, care and cost management, provider network services, and data analytics to employers, members, and benefits consultants. The company focuses on reducing healthcare costs, optimizing plan performance, and improving member experience through administrative services, analytics & insights, and customizable provider networks.

đź“‹ Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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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