Electronic Data Interchange Specialist Job at Merakey

Merakey Harrisburg, PA 17120

Merakey is currently seeking an EDI Specialist. The successful candidate will report directly to the EDI Manager and will be based on a hybrid model out of our office in either Erdenheim (Glenside) or Harrisburg, PA.


Position Summary


The EDI Billing Specialist is responsible for the complete EDI billing life cycle. This includes generating and submitting 837 files to third party payers and verifying all return files (TA1, 999, 277, 835, etc) sent back from payers & clearinghouses. Communicates with the accounts receivable department and other stakeholders’ relevant information related to billing and adjudication.


Duties


  • Adheres to and understands all Merakey Corporate and Business Operations policies, standards, and procedures.

  • Completes assigned tasks as follows:

  • All billing and re-billing processes are followed within established time frames.

  • Response files are confirmed and analyzed daily.

  • 835 files are downloaded and provided daily for A/R department.

  • Batch eligibility process (270/271) is worked daily.

  • Run scheduled reports and ad hoc reports.

  • Support staff using client eligibility systems and payers website accessibility.

  • Establishes productive, customer services-oriented relationships with stakeholders providing input to and receiving out from accounts receivable process.

  • Work with department management and support areas in the testing of new payers for electronic transmission of data.

  • Regularly communicates with program staff, peers, management and other stakeholders with relevant information, feedback and issues related to the revenue cycle and specifically the EDI billing process.

  • Must be able to work effectively with others and have good people skills, along with willingness to accept responsibility and to show good judgment, initiative, and resourcefulness in a collaborative environment.

  • Must be highly organized and work well under pressure. Must be able to work independently, as well as under supervision.

  • Establishes productive, customer services-oriented relationships with internal and external stakeholders.

  • Perform other duties as assigned by management.

BENEFITS

Merakey offers Medical, Dental, Vision insurance plans, competitive compensation plans, Work/Life balance, flexible schedules, cell phone discount plan, employee referral bonuses, tuition reimbursement and much more!

To fill out an on-line application:
www.merakey.org/careers

Requisition number: 80013

ABOUT MERAKEY

Merakey is a leading developmental, behavioral health, and education non-profit provider with a fifty-year history. We offer a breadth of integrated services to individuals and communities across the country. Our belief that every individual has the right to achieve growth, dignity, and fulfillment guides all of our decisions. At Merakey, we care about each other and are committed to providing the very best care to those we serve. Merakey strictly follows a zero-tolerance policy for abuse.

Merakey is proud to be an Equal Opportunity Employer!
We deeply value diversity and do not discriminate on the basis of race, religion, color, national origin, ethnic background, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or disability status. Moreover, we are committed to creating teams that reflect the diversity of the communities we serve and encourage applicants from underrepresented backgrounds to apply.

Qualifications:


High School diploma and Associate Degree preferred. One to three years’ experience in a business office, preferably within a healthcare environment and/or technical role.


Strong analytical, problem solving and communication skills. Ability to work independently and within a group, with minimal daily supervision. Proven ability to think creatively to perform desired results. The ideal candidate should have strong PC skills and good working knowledge of Microsoft Excel along with the ability to quickly learn other software and tools, as necessary.


EDI billing experience is a plus.




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