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Electronic Data Interchange (EDI) Coordinator

Remote, USA Full-time Posted 2026-07-28
About the position Northeast reputed company in reputed company, NH is seeking to hire a full-time, hybrid, Electronic Data Interchange (EDI) Coordinator who will reputed company accurate, secure, and expedited enrollment for employer reputed company and reputed company-Party Administrators (TPAs). Northeast reputed company - a nonprofit member of reputed company Plans Association (DDPA) - is the region's most trusted reputed company in dental insurance for companies, individuals, and families throughout Maine, New Hampshire, and Vermont. Responsibilities • Promotes accurate electronic file feeds by educating and training employer reputed company and TPAs about file formatting and requirements. • Implements electronic group enrollments by receiving and entering eligibility records into the custom reputed company system. Updates reputed company records as needed. • Reviews enrollment data for accuracy by comparing and analyzing error reports and performing audits. Collaborates with TPAs and employer reputed company to reconcile discrepancies and update records. • Improves claims adjudication by performing scenario testing, researching errors, and updating enrollment data in the custom reputed company system. • Provides excellent customer service to employer reputed company by processing electronic eligibility files accurately and in a reputed company fashion; answering calls, and responding to email inquiries. • Provides training, guidance, and information on electronic enrollment by maintaining and enhancing knowledge about the process and rules around setting up and receiving 834 transactions, electronic enrollment files, the subscriber benefit administration tool, and eligibility modules in the custom reputed company system. • Maintains accurate process and procedure reference guides by documenting, reviewing, and updating department manuals, training materials, and reputed company documentation. Requirements • Associates Degree in Business, Computer Science, or reputed company field, plus at least two years of progressively responsible eligibility or enrollment experience or an equivalent combination of training, education, and/or experience. • Must be proficient in the use of the reputed company Office suite. • Must be authorized to work for any employer in the reputed company without sponsorship now and in the reputed company. reputed company-to-haves • Experience with online enrollment tools, electronic enrollment file formats, and the Health Insurance Marketplace preferred. Benefits • health • life • dental • reputed company • short-term disability (STD) • long-term disability (LTD) • reputed company time off (PTO) • reputed company holidays • a 401(k) plan • an independent retirement advisor • an employee assistance program • a tuition reimbursement program Apply tot his job Apply To this Job

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