EDI Specialist

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🔥 39 minutes ago

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Logo of DentalXChange

DentalXChange

51 - 200 employees

Founded 1989

⚕️ Healthcare Insurance

💳 Fintech

☁️ SaaS

Healthcare Insurance • Fintech • SaaS

DentalXChange is a comprehensive revenue cycle management (RCM) platform tailored for the dental industry. It streamlines the entire workflow of dental practices by connecting providers, partners, and payers, ensuring that claims are processed efficiently and payments are collected swiftly. The platform supports a variety of services, including eligibility verification, claims filing, and billing services, enhancing operational efficiency for independent dental practitioners and larger organizations alike.

📋 Description

• Provide operational support to production practices and issues and suggest areas for improvement. • Monitor, review, troubleshoot, and correct EDI issues and make necessary changes to prevent the same issues from reoccurring. • Perform tests on production applications and prepare recovery procedures for applications. • Coordinate with IT groups and external vendors to ensure effective services for reliability. • Analyze business processes and ensure compliance with controlled processes according to established protocols. • Monitor alerts and escalate issues for procedures and systems. • Assist as needed with training guides and supporting other team members. • Develop and maintain professional relationships with clients, vendors, and other department members. • Collaborate as needed with other internal departments including, but not limited to, Engineering, Sales, Client Support, Payer Relations, Trading Partners, and Channel Partners. • Proactively provide timely communications regarding updates, issues, and resolutions. • Maintain accurate support tickets, documentation, and follow-up. • Security is everyone’s job. Look out for, and report, anything that is suspicious or just doesn’t seem correct. • Live DentalXChange’s company values: Active Care, Try Hard, Be Humble, Feedback is a Gift. • Exhibits exceptional internal and external customer service with all persons with whom you work. • Other duties as assigned.

🎯 Requirements

• 1 year of related experience is preferred. • Basic knowledge of EDI transaction types preferred (X12 837D, 270/271, 835, XML, etc.). • Basic knowledge of with the following: • Microsoft SQL Server management Studio • UltraEdit and/or NotePad ++ • CuteFTP -file transfer program • Microsoft Office: Excel, Outlook • AI tools: Claude, Copilot, etc. • Ability to quickly gain a solid understanding of DentalXChange processes and applications. • Strong verbal and written communication and interpersonal skills. • Proficient in all (or list which ones) MS Office applications and use of the internet. • Ability to successfully multitask with accuracy in a fast-paced environment. • Working knowledge of technical and procedural aspects and functions. • Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.

🏖️ Benefits

• Medical, dental, and vision benefits – eligible first of the month after start date • Unlimited PTO • Paid time off for sick, jury duty, bereavement • 10 company paid holidays • 401k with company match • Health Advocate • Healthcare and dependent care flexible spending accounts • Friendly co-workers and a positive culture!

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