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    EDI Payer Services Specialist - Remote, United States - Zotec Partners

    Zotec Partners
    Zotec Partners Remote, United States

    3 weeks ago

    Default job background
    Full time
    Description

    We're seeking an EDI Payer Services Specialist to join us.

    What you'll do:

    • Monitor business processes to ensure service level agreements are met
    • Interact with new and current trading partners to capture and analyze requirements, mapping specifications and project objectives
    • Investigate issues related to vendor files
    • Respond with appropriate urgency when process variations are discovered
    • Communicate with outside agencies, carriers or facilities as research requires to gather information to resolve issues
    • Troubleshoot to ensure different file formats load into Zotec system
    • Act as an ambassador for Zotec's purpose, initiatives and goals

    What you'll bring to Zotec:

    • Knowledge of HIPAA/EDI X12 v5010 healthcare-related file formats with advanced experience working with 270 and 271 files
    • Experience in healthcare business processes, claims and enrollment
    • Knowledge of industry standard health data code sets such as ICD-10, CPT/HCPCS, and Revenue Codes
    • Conceptual understanding of the .NET framework or experience working in a .NET environment
    • Working knowledge of XML
    • Proficient with Microsoft Office software including Outlook, Word, Excel, and Access
    • Strong analytical, problem solving, organizational and priority management skills
    • Strong verbal and written communication skills, both technical and non-technical
    • Ability to work independently, be self-motivated and have the willingness and ability to lead small initiatives and projects
    • Must be able to multi-task, be flexible and embrace change
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