EDI Analyst I, B2B SaaS

🔥 6 hours ago

🇺🇸 United States – Remote

💵 $60k - $70k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 20%

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Logo of Prompt Therapy Solutions Inc

Prompt Therapy Solutions Inc

11 - 50 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Prompt Therapy Solutions Inc. is a company that provides therapy-focused software solutions designed to enhance the efficiency and profitability of clinics. They offer a range of features including AI-powered scheduling, patient management, billing, and reporting tools. Their platform caters to various practice sizes, from startup clinics to large enterprises, aiming to optimize clinic operations and improve patient satisfaction. The company's AI solutions help streamline workflows for roles such as front desk staff, therapists, billers, and clinic owners. Through advanced analytics and automated processes, Prompt Therapy Solutions seeks to modernize practice management and drive growth for therapy providers.

📋 Description

• Assist clients, often directly engaging with business owners, through chat/email support for 837/835-related matters • Develop and maintain a deep understanding of RCM/Clearinghouse capabilities • Respond to incoming customer inquiries through the single-channel support system • Work independently with rehab therapy business owners and billing teams to meet unique client needs • Resolve support ticket inquiries, including clearinghouse rejections, EDI Rules, and ERA/EDI application help • Identify opportunities to improve the enrollment process and EDI/ERA support • Understand customer-specific needs, including NPI/TIN billing combinations, payer mix, and unique billing rules • Ensure the ERA/EDI enrollment process follows the onboarding schedule • Provide enrollment paperwork and support when requested • Monitor accounts for enrollment-related rejections or issues throughout implementation • Devise innovative strategies to improve EDI/ERA processes and customer satisfaction

🎯 Requirements

• Working knowledge of X12 message formats (837P, 837I, 835, 276, 277) • Detailed understanding of segments and looping/grouping structures • Experience performing Healthcare EDI/ERA enrollment process from start to finish for Part A and/or Part B facilities • Experience as EDI Analyst, troubleshooting clearinghouse/payer related rejections • Clear and effective communicator with excellent verbal and written skills, capable of explaining complex EDI/ERA processes in an understandable manner during calls with business owners • Demonstrated extreme attention to detail and organizational skills • Ability to meet deadlines with a strong sense of urgency • Excellent troubleshooting and analytical skills • Self-motivated with the ability to multitask and work independently as well as in a team setting • Proven ability to work autonomously, taking initiative to identify and solve problems before they impact our clients • Prior startup and/or B2B SaaS technology organization experience • Experience in any function of clinical development or medical billing operations • Experience with Zendesk or similar customer support software • Experience with healthcare data/systems, ideally clinical/operational clinical trial data/systems • Knowledge of e-clinical systems and technologies (e.g. EMR, RTM, HEP, CRM, HIEs, etc.) • Must be legally authorized to work in the US • Must be physically located in the US

🏖️ Benefits

• Competitive salaries • Remote/hybrid environment • Potential equity compensation for outstanding performance • Flexible PTO • Company-wide sponsored lunches • Company paid disability and life insurance benefits • Company paid family and medical leave • Medical, dental, and vision insurance benefits • Discounted pet insurance • FSA/DCA and commuter benefits • 401k • Complimentary subscription to digital fitness classes and wellness content • Recovery suite at HQ – includes a cold plunge, sauna, and shower

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