EDI Complex Issue Resolution Associate

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

The EDI Complex Issue Resolution Associate is an EDI engineer working with clients to configure and support the EDI components, integrations and workflows for Electronic Claims (EDI837) in the IDX revenue cycle system.  The EDI Engineer will provide advanced technical support for customer business requirements.  Solutions will be complex and technical in nature and consist of advanced system configuration options and custom software development incorporating best practice workflow.  Solutions will be designed, written, tested and managed from test to production environments to maintain system integrity.  While dedicated to EDI workflows in the aIDX revenue cycle systems, the engineer must consider full IDX integration for robust best practice solutions and customer workflows.  The EDI Engineer will have dedicated customer assignments for Onboarding, either new to IDX or new to EDI solutions, and/or perform work in Support to assist customers live on EDI solutions. 

Essential Functions (Duties and Responsibilities):

• EDI837 Claims includes, and may not be limited to, professional medical, dental, ambulatory surgical and inpatient claim capabilities in the IDX PM system, BAR and HPA.  Implementation and support of paper claims may also be included.

• Understand customer workflow and billing requirements and translate this into EDI configuration and workflow. 

• Work closely with customers in the onboarding phase to design and configure claim workflows.  This includes training customers on EDI/IDX best practice workflows and managing projects to scope in design, effort, timelines and budget.

• Resolve customer support cases, including intake, research, troubleshooting, resolution, training and comprehensive technical documentation.

• Troubleshooting claim workflows reported by customers.

• Produce clear and precise technical design specifications at the appropriate detail level.

• Adhere to coding conventions, architectures, and best practices.

• Write, debug, and deploy code to production, delivering timely fixes.

• Deploy and support new features, including software upgrades and compliance with regulatory requirements and payer mandates.

• Cultivate and sustain trusting relationships with customers to foster collaborative partnerships.

• Provide thorough training to customers on the best practice use of EDI claim features and workflows.

• Interface with customers via phone, meetings, and through customer support cases. 

• Thoroughly document solutions in applicable systems.

• Exhibit strong customer management skills, clearly communicating expectations, deliverables, next steps, and commitments.

• Effectively manage multiple customer projects simultaneously across onboarding and support.

• Collaboration and support of internal teams is critical to success.

Education & Experience Required:

• Bachelor’s degree in a related field or equivalent experience

• 2 to 4 years of software product implementation or support in a Healthcare IT or Healthcare Operations environment

• 2 to 4 years of experience with Revenue Cycle Management

• 2 to 4 years of experience with implementing or supporting EDI 837, 835, 270/271 or 276/277

• 2 to 4 years preferred experience with athenaIDX based applications,

• 2 to 4 years preferred experience with MUMPS/Caché programming

Knowledge & Skills:

• Analytical thinking and systematic approach to issue troubleshooting

• Demonstrated ability to work independently and collaboratively with assigned teams

• Demonstrated experience working directly with customers

• Ability to write code that is technically sound, performant, scalable, and readable

• Ability to multi-task and balance competing priorities

• A strong desire to learn new skills and be flexible with job duties including being cross trained on various applications and responsibilities

• Demonstrate resourcefulness by conducting thorough research while recognizing limits and proactively seeking assistance when necessary

• Strong communicatio