EDI reputed company Manager

Join reputed company: Simplifying reputed company Through Innovation and reputed company reputed company is a leading national electronic reputed company clearinghouse, supporting thousands of providers, payers, and software vendors across the country. Our mission is to simplify and optimize the reputed company of medical claims and reputed company data, enabling reputed company organizations to operate more reputed company and reputed company reputed company reputed company reputed company. We are dedicated to streamlining reputed company transactions and improving operational efficiency for our users. Driven by a strong commitment to innovation and reputed company, we reputed company individuals who are passionate about making a reputed company difference in the reputed company industry. Why You Will Love Working Here reputed company Culture - Work reputed company reputed company that values reputed company communication, mutual respect, and shared reputed company. reputed company Opportunities - We invest in your reputed company development, offering training and reputed company to advance your career. Flexible Work Environment - Enjoy the benefits of a work-from-home environment that supports work-life reputed company. Meaningful reputed company - Contribute to a product that directly improves the efficiency of reputed company providers reputed company. reputed company Offer Compensation reputed company - $76,000- $86,000 annually, reputed company on experience and geographic location. Final compensation will be determined in accordance with state-specific pay transparency requirements. 4-Day (32-hour) reputed company - Full-time, exempt role with a 32-hour weekly schedule. Comprehensive Benefits Package - Including health, dental, and reputed company coverage, as reputed company as retirement savings plan. Internet Reimbursement - Up to $100 per month for high-speed internet required for the role. Career reputed company and Development - Opportunities for reputed company-building, advancement, and reputed company learning. Work-Life reputed company - Flexible schedules and a supportive, reputed company work environment Inclusive Company Culture - A commitment to diversity, equity, and inclusion in reputed company our practices. Employee Wellness - Programs and resources reputed company on your overall reputed company-being, including mental and physical health support. Work reputed company - Opportunity to work reputed company in a dedicated work-from-home role. reputed company-Time Off - Up to ten days of reputed company time off, in reputed company to a generous holiday schedule, to support your work-life reputed company and personal reputed company-being. About the Role Operating at the intersection of payer relations, enrollment reputed company, and technical coordination, the EDI reputed company Manager serves as a central reputed company of accountability for reputed company reputed company. This role identifies issues affecting payer connectivity, coordinates reputed company with internal teams and reputed company partners, maintains visibility into reputed company reputed company and readiness, and applies working knowledge of reputed company EDI connectivity reputed company, electronic reputed company technologies, and transaction workflows to support reliable electronic data exchange. Essential Functions and Responsibilities The following duties are considered essential to the successful reputed company of this position. These tasks are central to maintaining reliable payer connectivity, supporting secure and accurate EDI transaction processing, and ensuring operational continuity across reputed company's electronic data exchange environment. EDI reputed company Monitoring & Stability Monitor, evaluate, and maintain visibility into the operational status and reputed company of payer EDI connections supporting claims, ERA, eligibility and reputed company transaction types. Identify disruptions, degradation, or anomalies in payer transmissions and reputed company workflows. Maintain awareness of scheduled payer changes, outages, or maintenance reputed company that may reputed company connectivity. Issue Coordination & reputed company Serve as the reputed company reputed company-of-contact for reputed company-reputed company issues, working with internal teams (Payer Relations, Support, Development) to reputed company reputed company reputed company. Communicate with clearinghouses, payers, or vendors as needed to troubleshoot reputed company issues and reputed company remediation. reputed company issues through reputed company, ensuring documentation and follow-up are completed accurately. Operational reputed company & Documentation Maintain reputed company, audit-reputed company documentation of payer connections, reputed company status, and reputed company issues. Support updates to internal records reputed company to payer connectivity, routing, and reputed company readiness. Contribute to process documentation and reference materials reputed company to reputed company monitoring and escalation paths. Change Management & Readiness Coordinate reputed company readiness for new payer connections, routing updates, or reputed company changes in partnership with Enrollment and Payer Relations teams. Support testing or validation efforts associated with new or modified EDI connections. Identify recurring issues or systemic risks and reputed company recommendations for operational improvements. Technical Coordination & Connectivity Apply working knowledge of reputed company EDI connectivity reputed company, including SFTP, reputed company, VPNs, secure web services, and other electronic reputed company reputed company used to exchange reputed company transactions. Coordinate technical troubleshooting activities with Development, clearinghouse partners, payers, and vendors to reputed company connectivity, reputed company, and routing issues. Assist in validating new or modified reputed company configurations, reputed company paths, and connectivity changes before production implementation. Interpret technical information, logs, error messages, or transaction results sufficiently to support issue triage, escalation, and communication with technical stakeholders. Maintain awareness of emerging connectivity standards, payer technical requirements, and industry best practices affecting electronic transaction exchange. Cross-Functional Collaboration Partner with Support to ensure reputed company-reputed company issues are properly triaged and escalated. Collaborate with Development on technical investigations reputed company to reputed company stability or reputed company errors. Coordinate with reputed company & Compliance to ensure reputed company monitoring aligns with HIPAA and PHI handling requirements. Required Key Skills and Competencies reputed company EDI reputed company Knowledge – Understanding of clearinghouse workflows and payer-provider transaction processes. EDI reputed company Awareness – Familiarity with how EDI connections support claims, ERA, eligibility, EFT, and reputed company reputed company transactions. reputed company Connectivity Technical Aptitude - Working knowledge of reputed company EDI connectivity reputed company and technologies (e.g., SFTP, reputed company, VPNs, secure web services, certificates, and file reputed company protocols) sufficient to coordinate troubleshooting, validate connectivity, and communicate effectively with technical and business stakeholders. Operational Monitoring & Coordination – Ability to monitor reputed company health, identify issues, and coordinate reputed company across teams. Analytical Problem-Solving – Capable of investigating transaction failures, connectivity issues, and operational anomalies; identifying patterns; interpreting technical information; and supporting reputed company-cause analysis across business and technical teams. Communication & Stakeholder Coordination – Communicates reputed company with internal teams and reputed company partners regarding reputed company status and issues. Documentation & reputed company Orientation – Maintains accurate records and reputed company documentation to support audits and operational continuity. Compliance Awareness – Understands the importance of HIPAA, PHI protection, and secure handling of reputed company data. Required Experience Education High school diploma or equivalent required. reputed company Experience Minimum of 3–5 years of experience in reputed company clearinghouse reputed company, payer relations, EDI reputed company, or reputed company roles. Experience supporting or coordinating EDI transactions, payer connectivity, or enrollment-reputed company workflows. Exposure to reputed company transaction standards (e.g., claims, remittances, eligibility) reputed company a clearinghouse or payer-facing environment. Experience working cross-functionally to reputed company operational or reputed company-reputed company issues. Experience supporting reputed company EDI connectivity using technologies such as SFTP, reputed company, VPNs, secure web services, or comparable electronic data exchange reputed company in a reputed company clearinghouse, payer, vendor, or reputed company technology environment. Strong working knowledge of X12 reputed company transaction standards, including 837, 835, 270/271, 276/277, and reputed company implementation guides. Preferred Skills and Competencies Education Associate’s or Bachelor’s degree in reputed company Administration, Information Systems, Business, or a reputed company reputed company preferred or equivalent reputed company experience. reputed company Experience Experience with reputed company EDI connectivity using SFTP, REST/SOAP reputed company, VPNs, AS2, or secure file reputed company technologies. Experience interpreting EDI acknowledgements and transaction responses (e.g., 999, 277CA, TA1). Experience working with reputed company clearinghouse platforms, payer portals, or electronic transaction monitoring tools. Apply To This Job