EDI Analyst I

OpenKrill; United States; Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Competitive salaries

Remote/hybrid environment

Equity potential

Flexible PTO

Company lunches

Insurance benefits

Family and medical leave

Medical, dental, and vision insurance

Pet insurance discounts

401k

Wellness content subscription

Recovery suite at HQ

Job summary

Prompt Therapy Solutions, Inc. is seeking an EDI Analyst I to support our healthcare EDI/ERA operations. You will engage with rehab therapy businesses and providers, assisting with 837/835 inquiries and enrollment processes.

You will work independently, applying troubleshooting skills to clear clearinghouse rejections and improve client onboarding while collaborating with the EDI/ERA team.

Qualifications

• Working knowledge of X12 message formats (837P, 837I, 835, 276, 277).
• Understand segments and looping/grouping structures.
• Experience with Healthcare EDI/ERA enrollment end-to-end.
• Experience troubleshooting clearinghouse/payer rejections.
• Clear communicator with strong written and verbal skills.
• Strong attention to detail and organization.
• Ability to meet deadlines and work independently.

Responsibilities

• Develop understanding of RCM/Clearinghouse capabilities for customer inquiries.
• Work with rehab therapy owners and billing teams to meet needs.
• Resolve common support tickets (rejections, ERA/EDI help).
• Improve enrollment process and EDI/ERA support.
• Understand client needs for successful onboarding (NPI/TIN).
• Ensure ERA/EDI enrollment is underway per schedule.
• Provide enrollment paperwork and support as needed.
• Monitor accounts for enrollment-related issues during implementation.

Skills

X12 knowledge

837P/837I/835

EDI troubleshooting

Communication

Attention to detail

Tools

Zendesk

CRM systems

Job description

Job Title: EDI Analyst I

Prompt is revolutionizing healthcare by delivering highly automated and modern software to rehab therapy businesses, the teams within, and the patients they serve. As the fastest growing company in the physical therapy EMR space and the new standard in healthcare technology, we’re looking to bring on an EDI Analyst I to help contribute to the continued growth of our EDI/ERA Department.

This role is an unprecedented opportunity to have an immense impact in our industry leading EDI/ERA Department that ranks 40 Net Promoter Score points higher than our competition (in other words, people love Prompt). We’re looking for someone scrappy, willing to bring new ideas, take on big challenges, and is into doubling down on what works.

We’re doing something special here and this role will be critical in taking Prompt to the next level.

Why work for Prompt?

• BIG CHALLENGES: Here at Prompt, we are solving complex and unique problems that have plagued the healthcare industry since the dawn of time.


• TALENTED PEOPLE: Prompt didn't happen by chance, it's a team of incredibly talented and proven individuals who all made their mark before joining forces to build the greatest software on the planet for physical, occupational, and speech therapists.


• HEALTHY APPROACH: This isn't an investment bank, we work long hours when it's needed, but at Prompt you own your workload and the entire organization takes a liking to smart work (over hard work).


• POSITIVE IMPACT: Prompt helps outpatient rehab organizations treat more patients and deliver better care with less environmental waste. That means less surgery and less narcotic-based pain treatment, all while turning a paper-heavy industry digital. We aren't enthralled with patting ourselves on the back everyday, but it does feel good :)

The Role:

Our expectation of this role is that you become a major contributor in assisting our clients, often directly engaging with business owners, via our chat/email support channel for all things 837/835 related. This role demands the ability to work independently, leveraging creative solutions to meet our clients' unique needs

Key Responsibilities:

• Develop and maintain a deep understanding of our RCM/Clearinghouse capabilities to effectively respond to incoming customer inquiries across our single-channel support system


• Work independently with rehab therapy business owners and billing teams leveraging creative solutions to meet our clients' unique needs


• Resolve common support ticket inquiries in a timely manner. (Clearinghouse rejections, EDI Rules, ERA/EDI Application Help, etc)


• Improve and advocate for customer experience by identifying opportunities to enhance our enrollment process and provided EDI/ERA support


• Understand customer needs on a case by case basis to ensure a successful transition (NPI/TIN billing combinations, payer mix, unique billing rules)


• Ensure ERA/EDI Enrollment Process is underway according to onboarding schedule


• Provide customers with relevant enrollment paperwork and provide support if requested


• Monitor accounts for rejections or issues specific to enrollment related items throughout the client's implementation

Minimum Requirements:

• Working knowledge of X12 message formats (837P, 837I, 835, 276, 277)


• Detailed understanding of segments and looping/grouping structures


• Experience performing Healthcare EDI/ERA enrollment process from start to finish for Part A and/or Part B facilities


• Experience as EDI Analyst, troubleshooting clearinghouse/payer related rejections


• Clear and effective communicator with excellent verbal and written skills, capable of explaining complex EDI/ERA processes in an understandable manner during calls with business owners


• Demonstrated extreme attention to detail and organizational skills


• Ability to meet deadlines with a strong sense of urgency


• Excellent troubleshooting and analytical skills


• Self-motivated with the ability to multitask and work independently as well as in a team setting


• Proven ability to work autonomously, taking initiative to identify and solve problems before they impact our clients. This includes devising innovative strategies to improve our EDI/ERA processes and customer satisfaction.

Preferred (Nice-to-have) Qualifications:

• Prior startup and/or B2B SaaS technology organization experience


• Experience in any function of clinical development or medical billing operations (clinical operations, data management, biostatistics, system management, information management, medical monitoring, RCM follow up, claim review and submission, etc.)


• Experience with Zendesk or similar customer support software


• Experience with healthcare data/systems, ideally clinical/operational clinical trial data/systems


• Knowledge of e-clinical systems and technologies (e.g. EMR, RTM, HEP, CRM, HIEs, etc)

Perks - What you can expect:

• Competitive salaries


• Remote/hybrid environment


• Potential equity compensation for outstanding performance


• Flexible PTO


• Company-wide sponsored lunches


• Company paid disability and life insurance benefits


• Company paid family and medical leave


• Medical, dental, and vision insurance benefits


• Discounted pet insurance


• FSA/DCA and commuter benefits


• 401k


• Complimentary subscription to digital fitness classes and wellness content


• Recovery suite at HQ – includes a cold plunge, sauna, and shower

Here at Prompt, we are committed to fostering a fair and respectful work environment. As part of this commitment, it is our policy not to hire individuals from Prompt Customers unless they have obtained their current employer's explicit consent. We believe in upholding strong professional relationships and respecting the agreements and commitments our customers have with their employees. We appreciate your understanding and cooperation regarding this policy. Please don't hesitate to inquire with our team.

Prompt Therapy Solutions, Inc is an equal opportunity employer, indiscriminate of race, color, religion, ethnicity, ancestry, national origin, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, disability, medical condition, or any other protected characteristic. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Prompt Therapy Solutions, Inc is an E-Verify Employer.