EDI Specialist I

🕒 il y a 16 jours

🇺🇸 États-Unis – Télétravail

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

🦅 Parrain de Visa H1B

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👻 Score fantôme 11%

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of NextGen Healthcare

NextGen Healthcare

1001 - 5000 employés

Fondée en 1998

🏥 Santé

💼 Conseil

⚕️ Assurance santé

💰 Venture Round en 2015-02

Healthcare • Consulting • Healthcare Insurance

NextGen Healthcare est une entreprise fournissant des solutions intégrées de technologies de l'information (IT) pour les pratiques ambulatoires de santé. Leurs services incluent des dossiers médicaux électroniques (DME), la gestion de cabinet, l'interopérabilité, l'engagement des patients et des solutions de télémédecine. Ils visent à améliorer l'expérience des patients et des prestataires grâce à des technologies innovantes telles que les flux de travail pilotés par l'IA et les solutions mobiles. NextGen Healthcare propose également des solutions sur mesure pour diverses spécialités et se concentre sur l'amélioration des résultats cliniques et financiers pour leurs clients. Ils soutiennent les pratiques de toutes tailles, des petits cabinets aux grandes entreprises, et mettent l'accent sur l'importance de l'interopérabilité et des échanges de données pour améliorer la prestation de soins de santé.

Description

• Provide technical analysis and support to internal and external customers on EDI-related issues, including enrollment, claims, payments, and clearinghouse activities • Lead, coordinate, and administer process improvements for EDI implementations • Participate in the design and review of new applications and EDI systems integration strategies • Work with Development and QA to troubleshoot and resolve issues • Respond to EDI inquiries from providers and internal departments • Collaborate with third-party vendors, clearinghouses, and payers to resolve operational and transactional issues • Communicate frequently with vendors to provide client solutions • Train clients and assist the presales team with product feature demonstrations • Maintain accurate records and files, track documents, follow up, and notify clients of upcoming due dates • Research and resolve client issues • Identify process improvement opportunities and contribute to improvement initiatives • Perform other duties supporting the overall position objective

🎯 Exigences

• Bachelor's degree, or any combination of education and experience providing the required qualifications • 1+ year working with software implementation or project management • 1+ year using NextGen PM or a similar practice management software solution • 2+ years of customer service experience • Experience with claim processing • Experience with product training • Fundamental knowledge of networking protocols, ISPs, internet security, and EDI standards • Knowledge of various products and multiple levels of benefits within each product • Proficiency with PCs and Windows-based environments • Technical expertise, problem-solving, research, analytical, communication, organization, and attention to detail • Ability to manage multiple tasks and prioritize in a fast-paced environment • Ability to use tools and resources to ensure functions are efficient, accurate, and timely • Ability to navigate a computer while on the phone • Ability to read and understand X12 raw data files • Ability to use multiple online portals • Ability to work remotely in Georgia

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