EDI Operations Analyst - Encounters
Core
Provider liaison responsible for electronic connectivity, claims filing procedures, and enrolling providers for claims and encounter submission.
Role type
EDI Operations Analyst
Builds
Electronic Data Interchange (EDI) connectivity and claims submission workflows
Domain
Healthcare / Health Insurance
Required skills
Claims processing, Customer service, Provider enrollment, EDI system implementation, Vendor communication
Preferred skills
Claims encounters experience, Network and telecommunications methodology, Detailed research of claims and systems reports
Responsibilities
Assists in developing or modifying claims filing procedures, Provides vendor specifications to vendors and clearing houses, Enrolls providers for claims and encounter submission, Educates providers regarding EDI, Works with vendors regarding implementation or connectivity related to EDI system