Change Healthcare Lead EDI Specialist in Columbia, South Carolina
Transforming the future of healthcare isn’t something we take lightly. It takes teams of the best and the brightest, working together to make an impact.
As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities.Here at Change Healthcare, we’re using our influence to drive positive changes across the industry, and we want motivated and passionate people like you to help us continue to bring new and innovative ideas to life. If you’re ready to embrace your passion and do what you love with a company that’s committed to supporting your future, then you belong at Change Healthcare.
Pursue purpose. Champion innovation. Earn trust. Be agile. Include all.
Empower Your Future. Make a Difference.
Lead EDI Specialist
Overview of Position
Follow up of outstanding EDI tasks for all payers including making sure a resolution has been reached. This position is responsible for all Pathology clients in the Charleston and Florence Offices. Responsible for assisting in new client implementations, training new hires, existing employees and offshore vendors. Responsible for working closing with offshore to answer questions and maintain and update pathways. Responsible for assisting in creating or updating departmental policies and procedures as well as assisting all EDI staff when they need help. Responsible for working EDI transactions including reconciling carrier submissions, edits and rejection reports and rejections found only on Clearinghouse websites. Will work closely with co-workers on complex issues to seek resolution as well as working with and assisting other departments with questions/issues that arise. Ability to research and resolve complex issues, multi-task, make appropriate decisions on accounts to be worked to maximize reimbursement and assist with distributing and monitoring team projects as requested by management.
What will be my duties and responsibilities in this job?
Oversee workflow of the team to ensure productivity measures are met
Meet productivity standards as outlined in client metrics
Identify any issues or trends and bring them to the attention of management team
Work on special projects as assigned
Train others and Q/A work of team mates and offshore vendors as assigned
Other duties as assigned
What are the requirements needed for this position?
5+ years’ work experience
Leadership skills or experience
Healthcare and / or insurance billing, processing or customer service preferred
Intermediate knowledge of MS Excel
Familiarity with health insurance web portals
Knowledge of the A/R process
High school diploma or equivalent work experience
What other skills/experience would be helpful to have?
Comprehensive knowledge of the A/R or EDI process
Ability to multi-task
Work well with others
Ability to fill in for Supervisor in their absence
What are the working conditions and physical requirements of this job?
Physical requirements include general office demands
Work from home
Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!
Equal Opportunity/Affirmative Action Statement
Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.
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Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.
Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.