EDI Specialist

Responsible for supporting electronic data exchange (EDI) clients to facilitate their billing and revenue collection.

Responsibilities

• Verify accuracy of billing data

• Research and revise errors in claims processes.

• Interact with stakeholders, payers and clients to answer questions, obtain information, and resolve issues.

• Monitor clearinghouse reports and take such steps necessary to guarantee payment of claims.

• Coordinate and collect necessary information from stakeholders and payers for claim adjudication.

• Recognize problem accounts and notify others to assist in resolution.

• Advise supervisor of insurance changes or trends

• Expectations for regular interactions with clients via zoom calls.

Qualifications
Required

• High school diploma or GED

• At least 2 years of experience with billing software and/or experience billing from an Electronic Health Record System

• The ability to build partnerships and work collaboratively with others to meet shared objectives

• The ability to demonstrate strong customer service skills

• Excellent written and verbal communications skills

• Outstanding computer skills to include ability to work with .txt files and strong knowledge of Microsoft Word, PowerPoint, Excel, Outlook

• Outstanding attention to detail

• Excellent time management skills

• Highly motivated and self-starter.

• Electronic Data Interchange (EDI) Clearinghouse or EDI transaction files experience

• Accounts receivable experience

Netsmart is proud to be an equal opportunity workplace and is an affirmative action employer, providing equal employment and advancement opportunities to all individuals. We celebrate diversity and are committed to creating an inclusive environment for all associates. All employment decisions at Netsmart, including but not limited to recruiting, hiring, promotion and transfer, are based on performance, qualifications, abilities, education and experience. Netsmart does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, age, physical or mental disability, past or present military service, or any other status protected by the laws or regulations in the locations where we operate.

Netsmart desires to provide a healthy and safe workplace and, as a government contractor, Netsmart is committed to maintaining a drug-free workplace in accordance with applicable federal law. Pursuant to Netsmart policy, all post-offer candidates are required to successfully complete a pre-employment background check, including a drug screen, which is provided at Netsmart’s sole expense. In the event a candidate tests positive for a controlled substance, Netsmart will rescind the offer of employment unless the individual can provide proof of valid prescription to Netsmart’s third party screening provider.

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