Remote EDI Specialist: Data Exchange & Reconciliation

Allied Benefit Systems; Chicago (IL); On-site; USD 28,000 - 29,000; Full time

Job summary

Allied Benefit Systems is seeking an EDI Specialist in Chicago, IL for a remote-friendly full-time role. The position handles inbound/outbound data, auditing, and training, with emphasis on accuracy and timely processing of claims and eligibility matching.

The role requires a High School Diploma and strong data entry skills, along with proficiency in Word, Excel, and Access. Candidates must be able to work independently and within a team, while supporting internal and external partners.

Qualifications

• Data entry at 6,000 keystrokes per hour with accuracy.
• Intermediate knowledge of Word, Excel, and Access.
• Good problem-solving skills.
• Analytical skills.
• Highly motivated and able to work independently and 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.
• 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 member 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

Skills

Data Entry

Problem-Solving

Analytical Skills

Attention to Detail

Teamwork

Independent Work

Communication

Education

High School Diploma or equivalent

Tools

Word

Excel

Access

Job description

Allied Benefit Systems is seeking an EDI Specialist in Chicago, IL for a remote-friendly full-time role. The position handles inbound/outbound data, auditing, and training, with emphasis on accuracy and timely processing of claims and eligibility matching.

The role requires a High School Diploma and strong data entry skills, along with proficiency in Word, Excel, and Access. Candidates must be able to work independently and within a team, while supporting internal and external partners.