EDI Specialist

🔥 14 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

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AMSURG

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

🤝 B2B

🏢 Enterprise

Healthcare • B2B • Enterprise

AMSURG is the nationally recognized leader in the strategic and operational management of ambulatory surgery centers (ASCs), providing high-quality, high-value same-day surgical services and a superior patient experience. The company partners with physician groups and health systems to form joint ventures and manages ASC operations, including anesthesia services and specialty centers for gastrointestinal, ophthalmology and orthopedic procedures. AMSURG emphasizes quality, consensus management with physician partners, and scalable operational expertise across the U. S.

📋 Description

• Complete standard clearinghouse and payer enrollment activities • Assist with establishing payer connectivity for implementations • Maintain billing system configuration data, including payer master files, provider records, libraries, and electronic and paper claim setup • Monitor enrollment progress and escalate delays or issues • Participate in implementation discovery and data gathering • Support project build tasks according to established standards • Assist with post-go-live monitoring of claims and electronic remittance activity • Document implementation activities and outcomes • Perform initial analysis of payer rejections and clearinghouse errors • Resolve routine claim submission and ERA issues • Escalate complex payer or configuration issues • Support Service Desk and operations teams with EDI-related inquiries • Maintain process documentation and user guides • Participate in testing activities within non-production environments • Validate build accuracy and identify potential issues

🎯 Requirements

• Associate degree or equivalent combination of education and experience • 1–3 years of experience • Basic understanding of healthcare revenue cycle processes • Working knowledge of EDI transactions, including 837 and 835 • Understanding of payer enrollment workflows • Strong analytical and organizational skills • Effective written and verbal communication skills • Ability to learn technical systems quickly • Strong attention to detail and follow-through • Experience with practice management systems preferred • Exposure to clearinghouses and payer enrollment processes preferred • Associates or better in Business preferred/educational qualification listed

🏖️ Benefits

• Paid Time Off • 9 observed holidays • Paid family leave • Medical insurance • Dental insurance • Vision insurance • Life insurance • Disability insurance • Healthcare FSA • Dependent Care FSA • Limited Healthcare FSA • Transportation and Parking FSAs • Health Savings Accounts (HSAs) • Matching 401(k) plan • Training and professional growth opportunities • Recognition and employee benefits

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