RCM Technical Support Specialist
DentalXChange
EDI Data Analyst, Medicaid EDI Manager
OMG Tech Partners
contract
Posted on:
Origin: • 🇺🇸 United States • Ohio
Visit company websiteSalary
💰 $52 per hour
Job Level
Mid-LevelSenior
About the role
- Perform membership data load from various electronic media into the AS400 system.
- Coordinate membership data transfer for new plans and modifications to existing plans, with client and internal personnel.
- Troubleshoot data issues through coordination and communication with management team, IT, and client personnel.
- Load membership data into the AS400 efficiently and accurately.
- Follow research and data processing guidelines and meet established standards.
- Answer client service team questions regarding data submission requirements in a professional and timely manner.
- Identify and resolve data issues.
- Use PC based applications to review membership data as necessary to ensure accurate data load or problem resolution.
- Assist in coordinating receipt, loading, tracking, and reporting of membership data.
- Identify and recommend systems and process modifications necessary to effectively and efficiently support the research function.
- Demonstrate strong teamwork abilities and the desire to provide quality customer service.
Requirements
- 3-5 years Business experience , preferably in the insurance industry.
- Familiarity with electronic media and AS400.
- Strong working knowledge of software programs, specifically Excel and Access.
- Maintain detailed documentation and process flow of all EDI processes.
- Understands third party benefits and administration.
- Detailed working knowledge of mainframe computers and systems in general.
- Detailed working knowledge of basic person computer operations.
- Strong customer service focus.
- High school diploma or equivalent required.
- Candidates who are US Citizens, Green Card holders eligible to work on W2 highly preferred.
- Employment Type: W2 only. NO C2C, NO 1099.
