EDI Payer Services Specialist

At Zotec Partners, our People make it happen. Transforming the healthcare industry isn’t easy. But when you build a team like the one we have, that goal can become a reality. Our accomplishments can’t happen without our extraordinary people – those across the country who make up our diverse Zotec family and help make this company a best place to work. Over 25 years ago, we started Zotec with a clear purpose, to make a difference by improving the way that healthcare works for everyone. Today we are more than 1000 employees strong, and we continue to use our incredible talent and energy to bring that purpose to life.   
We're seeking an EDI Payer Services Specialist to join us.

What you'll do:

• Monitor business processes to ensure service level agreements are met
• Interact with new and current trading partners to capture and analyze requirements, mapping specifications and project objectives
• Investigate issues related to vendor files
• Respond with appropriate urgency when process variations are discovered
• Communicate with outside agencies, carriers or facilities as research requires to gather information to resolve issues
• Troubleshoot to ensure different file formats load into Zotec system
• Act as an ambassador for Zotec’s purpose, initiatives and goals

What you'll bring to Zotec:

• Knowledge of HIPAA/EDI X12 v5010 healthcare-related file formats with advanced experience working with 270 and 271 files
• Experience in healthcare business processes, claims and enrollment
• Knowledge of industry standard health data code sets such as ICD-10, CPT/HCPCS, and Revenue Codes
• Conceptual understanding of the .NET framework or experience working in a .NET environment
• Working knowledge of XML
• Proficient with Microsoft Office software including Outlook, Word, Excel, and Access
• Strong analytical, problem solving, organizational and priority management skills
• Strong verbal and written communication skills, both technical and non-technical
• Ability to work independently, be self-motivated and have the willingness and ability to lead small initiatives and projects
• Must be able to multi-task, be flexible and embrace change

At Zotec, you will enjoy a network of highly experienced professionals in an environment where you can operate with autonomy yet have the resources and backing of other professionals in a similar role. Entrepreneurial and enterprising is the spirit of our team. If you are an original thinker and opportunity seeker, we'd like to talk to you!    Learn more about our organization, by visiting us at www.zotecpartners.com
E-Verify and Equal Opportunity Employer