Georgia Employer EDI CLAIMS IMPLEMENTATION ANALYST - (ATLANTA, GA) in Atlanta, Georgia
NextGen Healthcare has a legacy of building software that improves patient care and reduces healthcare costs. Now, we re bringing the best of the cloud, social media and mobile to healthcare. Come build the future with us! Please visit our website at: www.nextgen.com . EDI Claims Implementation Analyst (Atlanta, GA) Job Summary: Provide technical and administrative support for relational electronic data interchange (EDI) database design, analysis, and operations. Provide EDI related maintenance and backup support for RCM Billing Services staff and clients. Collaborate with third party vendors, clearinghouse, and payers to resolve operational issues. Job Responsibilities: * Monitors and provides EDI support/resolutions for all RCM billing staff and clients. This includes but not limited to tracking of missing 835 files, analyzing both paper claims and ANSI 837 formatting issues, and electronic statement performance and formatting issues. * Perform daily manual EDI processes, which cannot be automated (uploaded/download of secondary claim files in the secondary web portal, processing claim files through the EDI utilities). * Implementation and maintenance of File Maintenance libraries, payers, providers and groups which correspond to EDI processes and formatting within the software. * Maintain and update related documentation of policy and procedure. * Administration of all clearinghouse and statement vendor s websites. * Knowledge of technical troubleshooting approaches, tools and techniques, and the ability to anticipate, recognize, and resolve technical (hardware, software, application or operational problems. NextGen Healthcare believes in strength through diversity. We are an equal opportunity workplace and an affirmative action employer supporting Diversity, Disabled, and Protected Veterans. Qualified applicants are considered for employment without regard to age, race, color, religion, sex, national origin, sexual orientation, gender identity, disability or veteran status. To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions. Because NextGen Healthcare believes in providing a safe work environment, we conduct background checks as part of our hiring processes.Employer's Job# 5241Please visit job URL for more information about this opening and to view EOE statement.