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EDI Healthcare Billing Manager

  • Location: Bedford, MA
  • Start Date: 9/30/2021
  • Job ID: 21-00627
  • Posting Date: 9/30/2021
  • Job Type: Direct Placement
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Job Description

Manage, plan, and guide the daily activities of the EDI Department. Ensure proper handling and timely processing of EDI files. Coordinate file transfers between systems and Trading Partners. Keep Executive Director up to date on daily operations and ensure action is taken to promote the EDI growth/volume throughout the business.

Duties And Responsibilities


  • Manage, oversee and monitor all functions of the EDI team operations
  • Initialize new client EDI set up process
  • Coordinate and test all EDI implementations with new Trading Partners
  • Troubleshoot with new and existing Trading Partners to solve processing/operational issues, and error identification/resolution
  • Analyze current implementation in order to make recommendations for process improvement
  • Assign work to staff and ensure completion
  • May delegate day to day oversight to supervisors or team leads
  • Ensure staff is trained and aware of job and company expectations and determine remedial action when needed
  • Ensure cooperative team environment by
  • Effectively communicating with staff about department and company initiatives
  • Adjusting procedures as necessary to create process efficiencies
  • Resolving issues among staff
  • Encouraging constructive feedback from staff and between team members
  • Manage recruitment process including
  • Identifying needs
  • Posting internally
  • Screening and interviewing candidates
  • Review and approve time and attendance records according to company standards
  • Provide on-going feedback and annual performance reviews
  • Uphold company mission, vision and values
  • Proactively monitor company policies and address transgressions appropriately
  • Facilitate meetings within department and make presentations to senior management as needed
  • Monitor and enforce compliance with all pertinent local, state, and federal laws and regulations relating to operations and employment
  • Comply with all State and Federal Laws regarding an effective Compliance Program inclusive of HIPAA Privacy and Security
  • Adhere to the Code of Conduct and be familiar with all compliance policies and proceduresrelevant to this position
  • Ensure departmental managers and employees follow the Code of Conduct, compliance policies and procedures
  • Administer the appropriate sanction when an employee violates a compliance policy or procedure
Qualifications

To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities perform the duties.

Education (Degrees, Certificates, Licenses, Etc.)

Bachelor's degree or equivalent combination of education and experience desired.

Computer Skills

Prior word processing, spreadsheet and internet software experience including proficiency with MS Excel and MS Word required.

Experience

Five plus years related experience preferably in a healthcare setting; prior management experience preferred; knowledge of Healthcare EDI operations required.

Specific Job Knowledge, Skill and Ability


  • Solid understanding of the business practices of clients/company
  • Ability to track and resolve Healthcare EDI production system problems
  • Ability to oversee and direct staff
  • Comfort ability to work with Clients/ Trading Partners/ Management
  • Ability to effectively present information in one-on-one and small group situations to customers, clients and other employees of the organization
  • Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals
  • Ability to write routine reports and correspondence
  • Ability to communicate effectively verbally and in writing
  • Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form
  • Ability to deal with problems involving several concrete variables in standardized situations
  • Specific vision abilities required by this job include close vision
Posted by Andy Oliver
Technical Recruiting Manager
(800) 821-4644 x 9223

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