Senior EDI Specialist

Job Summary

A company is looking for an EDI Senior Specialist responsible for managing electronic data flow processes and troubleshooting EDI issues.

Key Responsibilities

• Analyze existing business processes to create efficient electronic processes
• Coordinate with management and developers to maintain a functioning EDI pre-adjudication system
• Act as a Subject Matter Expert (SME) for EDI-related issues and maintain relationships with clearinghouses

Required Qualifications

• 5+ years of healthcare experience
• 5+ years of Electronic Data Interchange (EDI) experience
• Strong understanding of healthcare claims process flow and HIPAA requirements
• Experience with clearinghouses such as Zirmed, Optum, Availity, and Change Healthcare
• Proficient in Microsoft Office applications and strong organizational skills