Electronic Data Interchange (EDI) Specialist - Billing/Claims
Implementation Team

MedAllies, a dynamic and growing health information technology organization, is looking for an EDI Specialist who would like to contribute to the growth and development of a young organization. We are continuing to expand our Implementation Division and this is a great opportunity to grow with the team and company. The EDI Specialist is responsible for managing the EDI transaction process for both implemented and pre-implemented clients. For implemented clients, the EDI Specialist assists practice with troubleshooting EDI issues, schedules updates to the Electronic Health Record (EHR) applications with appropriate changes relating to EDI, and trains clients on EDI issues as needed. For pre-implemented clients, the EDI Specialist coordinates EDI testing (837/835 ANSI transaction code sets), assists clients with appropriate set-ups for file maintenance data, assist the Project Manager with issues related to the Clearinghouse enrollments, completes post-live EDI audits. In addition, the EDI Specialists is responsible for ensuring clients meet milestones related to EDI according to the defined project plan. The major role of the EDI Specialist is to ensure optimal billing set-ups and appropriate configurations to maximize the client’s use of the EHR application. As part of this process, the EDI Specialist uses Medical Group Management Association (MGMA) “best practice” methodology with regard to the billing, claims, and collection processes for each client

MedAllies offers healthcare information technology applications including web portals, electronic prescribing and electronic health records. In addition, MedAllies is the Health Information Service Provider (HISP) for Taconic Health Information Network and Community (THINC), a nationally recognized community collaborative. MedAllies works with THINC on high-profile research studying improvements in patient safety and quality as a result of utilizing health information technology.

Candidates must possess extensive knowledge in the billing process of a medical practice including a thorough understanding of MGMA “best practices” for billing, claims, and general EDI processes. The ideal candidate must also possess excellent customer service, communications and inter-personal skills. The EDI Specialist positions require highly motivated individuals with excellent problem solving skills who are professional, friendly, patient, able to work independently on several tasks at the same time and able to adapt quickly to various medical office billing configurations. The candidates must also be able to contribute to the overall success of the Implementation Team by directing practices on maintaining high levels of billing efficiency and effectiveness which maximizes the functionality of the EHR systems being utilized by the practice. Candidates should be detailed oriented with a strong work ethic and have the ability to work with all levels of physician practice staff. Previous certified EHR billing experience required.

Resumes should be submitted to: hr@medallies.com

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