EDI Analyst I (B2B SaaS)

Summary

Prompt is a healthcare technology company delivering automated software for rehab therapy businesses, their teams, and patients. The EDI Analyst I will support clients with 837/835-related inquiries, troubleshoot clearinghouse and payer rejections, manage EDI/ERA enrollment activities, and identify ways to improve customer support and enrollment processes.

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

Skills

• 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
• 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)

Qualifications

Must Haves

• 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
• 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)

Benefits

• 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