EDI Payer Services Specialist

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