EDI Specialist

đź•’ vor 1 Monat

🌽 Illinois – Remote

infoinfo

đź’µ $20 - $21 / Stunde

⏰ Vollzeit

🟡 Mittelstufe

đźź  Senior

đź‘» Geisterscore 10%

infoinfo

🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of Allied Benefit Systems

Allied Benefit Systems

201 - 500 Mitarbeiter

GegrĂĽndet 1980

🏥 Gesundheitswesen

đź’Ľ Beratung

📦 Logistik

Healthcare • Consulting • Logistics

Allied Benefit Systems ist ein nationales Unternehmen für Gesundheitslösungen, das für Arbeitgeber, Mitglieder und Berater im Bereich Sozialleistungen die Verwaltung von Gesundheitsplänen, Pflege- und Kostenmanagement, Dienstleistungen von Anbieternetzwerken und Datenanalysen bietet. Das Unternehmen konzentriert sich darauf, die Gesundheitskosten zu senken, die Planleistung zu optimieren und das Erlebnis der Mitglieder durch Verwaltungsdienste, Analysen & Einblicke und anpassbare Anbieternetzwerke zu verbessern.

Beschreibung

• 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

🎯 Anforderungen

• 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

🏖️ Vorteile

• 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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