[Hiring] EDI Specialist @Allied Benefit Systems

Role Description

The EDI Specialist role is responsible for the retrieval and submission of inbound and outbound data, including daily auditing and reconciliation of data on a department level, to include internal staff and external vendors. The Specialist is also responsible for training staff on all new or updated procedures.

Essential Functions

• Receive and submit files to and from various vendors daily.
• Process 837 files resulting in conversions of .txt files.
• Prep and transfer files to be loaded into internal programming system for processing and payment.
• Encrypt and decrypt files.
• Run queries in Access.
• Run and review reporting in Excel.
• Conduct eligibility matching based on enrollee and members demographics within the internal master database.
• Accurately route completed claims to various internal mailboxes, with attention to detail and emphasis on accuracy and meeting timelines successfully.
• Train EDI Coordinators on various workflows, including new or updated procedures.
• Interpret and explain procedures to EDI Coordinators.
• Handle internal audits for the department, including internal staff and external vendors.
• Handle ongoing projects within the department when necessary, while maintaining the current workflows assigned.
• Handle complex issues within the department, when additional assistance is needed from other departments, staff, or outside vendors.
• Provide EDI support for outside trading partners and internal staff.
• Process failed transactions and resolve missing acknowledgments.
• Other duties as assigned.

Qualifications

• High School Diploma or equivalent required.

Requirements

• Data Entry 6,000 keystrokes per hour with accuracy.
• Intermediate knowledge of Word, Excel, and Access.
• Good problem-solving skills.
• Analytical skills.
• Highly motivated and the ability to work well independently and within a team environment.
• Attention to detail and accuracy.

Position Competencies

• Accountability
• Communication
• Customer Service Orientation
• Functional/Technical Skills
• Quality Focus
• Time and Task Management

Physical Demands

This is a standard desk role that requires extended periods of sitting and computer work.

Work Environment

Remote

Benefits

• Competitive Benefit Package including, but not limited to:
• Medical, Dental, Vision, Life and Disability Insurance
• Generous Paid Time Off
• Tuition Reimbursement
• EAP
• Technology Stipend