Technical Support - Proprietary Healthcare EDI

Division/Department

EDI Service/EDI Technical Team

Location

Hybrid Remote/In Office (Middleburg Heights, OH)

Summary

This Tier 3 position resides in the EDI Technical team which supports the systems utilized by internal and external users. Responsible for scripting claim data transformations via a proprietary scripting language to ensure claims meet payer requirements and client driven needs.

This position reports to the Manager of the EDI Technical team.

Pay

$40k-$50k

Key Responsibilities

• Script medical billing converts and edits via a proprietary scripting language to ensure claims meet all payer requirements.
• Understand the structure and functionality of and work within the ANSI 837 primary, secondary and COB claim structure.
• Work closely with EDI Dev Team to resolve system issues and client requests.
• Establish custom edits/converts using proprietary software.
• Understand the limitations, uses, and functionality of the XpressBiller and QuickScript Systems to guarantee/ensure the logic is created in the proper formatting using the Edit Wizard.
• Evaluate the desired outcome against viable options that would be required to execute the request without compromising the existing logic for single clients and Quadax-level.
• Responsible for working across multiple business units and teams.
• Assist with identifying product shortcomings and enhancements.
• Other duties as assigned.

Education / Experience

• Associate degree preferred
• Knowledge of EDI a plus
• Problem solving skills
• Strong computer skills
• Excellent verbal and written communication skills
• Ability to work in a fast-paced environment
• Strong attention to detail – collaborating with clients and internal departments
• Ability to set priorities
• Ability to maintain confidentiality

Requirements

Physical Demands

General office demands including sitting and/or standing for long periods of time. Dexterity with general office equipment including but not limited to keyboard, mouse, printer and calculator. Ability to lift up to 25 pounds.

Ability to handle stress in a fast-paced environment with multiple priorities and deadlines while adapting to a changing atmosphere. The employee will be expected to maintain confidentiality, adapt to business needs, make judgement decisions, grasp new ideas, and communicate with department managers, as well as with various employees and clients at all levels.