What are the responsibilities and job description for the EDI Eligibility Specialist position at MedPOINT Management?
Benefits:
- 401(k)
- 401(k) matching
- Bonus based on performance
- Dental insurance
- Health insurance
- Opportunity for advancement
- Paid time off
- Parental leave
- Savings bank
- Training & development
- Vision insurance
- Wellness resources
About the Role:
Join MedPOINT Management as an EDI Eligibility Specialist and play a crucial role in ensuring seamless electronic data interchange processes. Be part of a dynamic team in Sherman Oaks, CA, dedicated to improving healthcare access and efficiency.
About Us:
About Us:
MedPOINT Management has been a leader in healthcare management solutions for over a decade. Our clients appreciate our commitment to excellence and innovation, while our employees value a supportive work environment that fosters professional growth and collaboration.
Responsibilities:
- Process and validate EDI eligibility requests for accuracy and compliance.
- Collaborate with healthcare providers to resolve eligibility discrepancies.
- Monitor and analyze eligibility reports to identify trends and issues.
- Maintain up-to-date knowledge of insurance policies and regulations.
- Assist in the development and implementation of EDI processes and procedures.
- Provide exceptional customer service to internal and external stakeholders.
- Document and track eligibility inquiries and resolutions in the system.
- Participate in team meetings to discuss improvements and best practices.
Requirements:
- 1-3 years of experience in EDI processing or healthcare eligibility.
- Strong knowledge of healthcare insurance plans and eligibility requirements.
- Proficiency in EDI software and data management systems.
- Excellent analytical and problem-solving skills.
- Strong communication and interpersonal skills.
- Detail-oriented with a focus on accuracy and compliance.
- Ability to work independently and as part of a team.
- High school diploma required; relevant certifications a plus.
This is a remote position.
Salary : $24 - $26