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EDI Systems Administrator

Location: Westborough, MA - Corporate Home Office. Fully remote

Schedule: Monday-Friday, 8:00am-4:30pm

Pay rate: $30.00-$35.00/hour

Benefits:

  • Health, dental, vision insurance/additional voluntary insurances
  • Company-paid life insurance/employee assistance programs
  • Generous paid time off accrual
  • Tuition reimbursement/loan repayment options
  • 401k with company match up to 7%!
  • Discounts on wide array of services/entertainment nationwide

The EDI Systems Administrator is responsible for:

  • Assisting in the coordination process of all technical aspects of electronic data to and from all insurance companies as well as maintaining the reconciliation of this data
  • Working closely with the Reimbursement Systems Specialist to ensure the integrity of all electronic submissions.
  • Working towards ensuring that all claims are submitted electronically.
  • Creating a sound reconciliation process for balancing remits, cash payments, and electronic billing.
  • Analyzing all rejections.
  • Quantifying issues and communicating to management and peers to eliminate recurring problems.
  • Maintaining strong knowledge of all Business Office functions.
  • Monitoring and acting as the Administrator for all websites for all Spectrum staff.
  • Provides source documentation for all verification and audit requests

Qualifications:

  • Bachelor’s degree or equivalent experience in related field.
  • 3+ years of software support experience in a healthcare environment.
  • Microsoft Office and Excel spreadsheet experience required.
  • Knowledge of third-party payers required.

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