EDI Specialist

Allied Benefit Systems, LLC; Chicago, Northern (IL, KY); Hybrid; USD 57,859,000 - 59,926,000; Full time

Benefits offered by this job

Remote-friendly culture

Competitive benefits

Job summary

Allied Benefit Systems, LLC is seeking an EDI Specialist to manage inbound and outbound data, audit daily activities, and coordinate with internal staff and external vendors.

The role involves processing 837 files, transferring data for internal processing, and training EDI Coordinators on updates and procedures. A remote-friendly environment supports work from home with reliable internet requirements.

Qualifications

• Data entry at 6,000 keystrokes per hour with accuracy.
• Proficient in Word, Excel, and Access.
• Strong problem-solving skills.
• Analytical skills.
• Self-motivated and able to work independently or in a team.
• Attention to detail and accuracy.

Responsibilities

• Receive and submit files to and from various vendors daily.
• Process 837 files resulting in conversions of .txt files.
• Encrypt and decrypt files.
• Run queries in Access.
• Run and review reporting in Excel.
• Provide EDI support for outside trading partners and internal staff.
• Train EDI Coordinators on new procedures.
• Handle internal audits for the department.
• Processing of failed transactions and resolve missing acknowledgments.

Skills

Data entry speed

Word

Excel

Access

Problem-solving

Analytical skills

Attention to detail

Independence

Teamwork

Education

High School Diploma or equivalent

Tools

Word

Excel

Access

Job description

Job Details

Job Location: Allied Benefit Systems - CHICAGO, IL 60606

Position Type: Full Time

Salary Range: $20.00 - $21.00 Hourly

Job Category: Operations

POSITION SUMMARY

The EDI Specialist role is responsible for the retrieval and submission of inbound and outbound data. Including daily auditing and reconciliation of data on a department level, to include internal staff and external vendors. The Specialist is also responsible for training staff on all new or updated procedures.

ESSENTIAL FUNCTIONS

• Receive and submit files to and from various vendors daily.
• Process 837 files resulting in conversions of .txt files.
• Prep and transfer files to be loaded into internal programming system for processing and payment.
• Encrypt and decrypt files.
• Run queries in Access.
• Run and review reporting in Excel.
• Conduct eligibility matching based on enrollee and members demographics within the internal master database.
• Accurately routing completed claims to various internal mailboxes, attention to detail and emphasis on accuracy and meeting timelines successfully.
• Train EDI Coordinators on various workflow to include new or updated procedures.
• Interprets and explain procedures to EDI Coordinators.
• Handle internal audits for the department to include internal staff and external vendors.
• Handle ongoing projects within the department when necessary, while maintaining the current workflows assigned.
• Handle complex issues within the department, when additional assistance is needed from other departments, staff, or outside vendors.
• Provide EDI support for outside trading partners and internal staff.
• Processing of failed transactions and resolve missing acknowledgments.
• Other duties as assigned

EDUCATION

High School Diploma or equivalent required.

EXPERIENCE AND SKILLS

• Data Entry 6,000 keystrokes per hour with accuracy.
• Intermediate knowledge of Word, Excel, and Access.
• Good problem-solving skills.
• Analytical skills
• Highly motivated and the ability to work well independently and within a team environment.
• Attention to detail and accuracy.

POSITION COMPETENCIES

• Accountability
• Communication
• Customer Service Orientation
• Functional/Technical Skills
• Quality Focus
• Time and Task Management

PHYSICAL DEMANDS

This is a standard desk role that requires extended periods of sitting and computer work

WORK ENVIRONMENT

Remote

Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.

Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.