Edi Analyst I

Summary

Join Prompt, a rapidly growing healthcare software company, as an EDI Analyst I and contribute to the success of our industry-leading EDI/ERA Department. This role offers a unique opportunity to make a significant impact by assisting clients with 837/835-related inquiries via our chat/email support channel. You will develop a deep understanding of our RCM/Clearinghouse capabilities, resolve support tickets, and improve customer experience. The ideal candidate possesses strong EDI/ERA expertise, excellent communication skills, and a meticulous approach to problem-solving. Prompt offers a collaborative and supportive work environment with competitive benefits.

Requirements

• Working knowledge of X12 Manual (837P, 837I, 835, 276, 277)
• Experience performing Healthcare EDI/ERA enrollment process from start to finish for Part A and/or Part B facilities
• Experience as EDI Analyst, troubleshooting clearinghouse/payer related rejections
• Clear and effective communicator with excellent verbal and written skills
• Demonstrated extreme attention to detail and organizational skills
• Ability to meet deadlines with a strong sense of urgency
• Excellent troubleshooting and analytical skills
• Self-motivated with the ability to multitask and work independently as well as in a team setting

Responsibilities

• Develop and maintain a deep understanding of our RCM/Clearinghouse capabilities to effectively respond to incoming customer inquiries across our single-channel support system
• Resolve common support ticket inquiries in a timely manner. (Clearinghouse rejections, EDI Rules, ERA/EDI Application Help, etc)
• Improve and advocate for customer experience by identifying opportunities to enhance our enrollment process and provided EDI/ERA support
• Understand customer needs on a case by case basis to ensure a successful transition (NPI/TIN billing combinations, payer mix, unique billing rules)
• Ensure ERA/EDI Enrollment Process is underway according to onboarding schedule
• Provide customers with relevant enrollment paperwork and provide support if requested
• Monitor accounts for rejections or issues specific to enrollment related items throughout the client's implementation

Preferred Qualifications

• Prior startup and/or B2B SaaS technology organization experience
• Experience in any function of clinical development or medical billing operations (clinical operations, data management, biostatistics, system management, information management, medical monitoring, RCM follow up, claim review and submission, etc.)
• Experience with Zendesk or similar customer support software
• Experience with healthcare data/systems, ideally clinical/operational clinical trial data/systems
• Knowledge of e-clinical systems and technologies (e.g. EMR, RTM, HEP, CRM, HIEs, etc)

Benefits

• Competitive salaries
• Remote environment
• Potential equity compensation for outstanding performance
• 401k
• Health Insurance Benefits
• Generous PTO
• Company-wide sponsored lunches