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
E-Verify and Equal Opportunity Employer