EDI Support Specialist
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Job Description
EDI Support Specialist assisting with EDI operations and claims support, ensuring smooth coordination between departments. Requires experience in SQL, EDI, and medical billing.
Responsibilities:
- Support daily EDI operations including monitoring claims submissions and remittance processing.
- Assist with AR, claim corrections and authorization-related workflows.
- Coordinate with Claims and Authorization departments in alignment with check runs.
- Work closely with the EDI & Operations Analyst on special projects and system improvements.
- Assist in reviewing 277/834/835/837/999 files for errors or inconsistencies.
- Track payer issues and support documentation efforts.
- Participate in testing for system updates when needed.
- Maintain organized records of EDI transmissions and payer communications.
- Provide operational support during peak workload periods.
Requirements:
- HS diploma or GED required
- 1 year of related experience preferable in an EDI role
- Ability to execute SQL scripts
- Working knowledge of CPT codes and medical billing
- Basic understanding of AR processes
- Familiarity with 277, 834, 835, 837 and 999 EDI transactions
- Strong organizational and time-management skills
- Detail-oriented with high accuracy
- Ability to communicate effectively across departments
- Experience working with health insurance companies preferred
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