EDI Specialist

🕒 il y a 1 mois

🌽 Illinois – Distant

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💵 $20 - $21 / heure

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Allied Benefit Systems

Allied Benefit Systems

201 - 500 employés

Fondée en 1980

🏥 Santé

💼 Conseil

📦 Logistique

Healthcare • Consulting • Logistics

Allied Benefit Systems est une entreprise nationale de solutions de santé qui propose des services d'administration de plans de santé, de gestion des soins et des coûts, de services de réseau de prestataires et d'analyse de données aux employeurs, aux membres et aux consultants en avantages sociaux. L'entreprise se concentre sur la réduction des coûts de santé, l'optimisation de la performance des plans et l'amélioration de l'expérience des membres grâce aux services administratifs, aux analyses et aux perspectives, ainsi qu'à des réseaux de prestataires personnalisables.

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

🎯 Exigences

• 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

🏖️ Avantages

• 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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