Metrohoustonjobs M

Electronic Data Interchange (EDI) Customer Care Associate

Found in: beBee S2 US

Description:
REQUIREMENTS
:

  • Bachelor Degree in Information Systems or related area

  • 2-5 years experience working in health benefits and reviewing and processing health insurance claims

  • 2-3 years experience in a Health Care environment, preferably DC Medicaid

  • 1-3 years experience with electronic claims submission/EDI technology

  • Understanding of EDI transactions for claims processing and knowledge of supporting functions

  • Background knowledge of technology and software


DUTIES AND RESPONSIBILITIES
:

  • Investigate and resolve day-to-day trading partner's production/text issues; identify and resolve problems related to EDI

  • Manage trading partner relationships as they relate to electronic transactions via phone, email and fax

  • Serve as point of contact for in-bound electronic transmission errors; act as liaison between trading partners and business/technical operations

  • Serve as liaison between internal customers and the external provider community to provide technical solutions for trading partners

  • Communicate with trading partners, software vendors and internal departments to resolve transmission errors

  • Support Provider Relations, Claims and Systems staff with electronic submission issues

  • Educate and train staff, in assigned business areas, on EDI applications

  • Respond to telephone inquiries and complaints using standard scripts and procedures; gather information, research and resolve inquiries, and log customer calls



BPC is an equal opportunity employer.

calendar_today 2 days ago



location_on Washington, United States

work Metrohoustonjobs

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