Support Analyst (Healthcare Rev Cycle)

We are looking for a unique individual who has experienced the Medical Billing processes first hand. If you have wondered what it is like on the vendor side of the Healthcare system, please read on.

Encoda is a pioneer in the Healthcare industry as it relates to medical billing software. Encoda’ s patented solutions are actively changing the way medical practices interact with the Healthcare Insurance industry.

Encoda is nimble, customer-oriented, and consultative. We do not attempt to simply improve what others do but to reinvent the entire process of Electronic Data Interchange (EDI) claims submissions. As a long-term member of the ANSI X12 committees that guide the industry we have the ability to both guide the future and see trends far in advance which will affect our clients. Encoda also provides a range of value-added services to provide customers with a focused technology vendor: revenue cycle management (RCM) services, financial management data warehouse and dashboards, Practice Management System hosting for Greenway products, and more.

Our EDI support analysts are responsible for maintaining successful relationships with multiple EDI insurance payers from a technical and X12 compliance standpoint and will administer the various applications used to service our customer base. The support team also interacts directly with many of the file processing and technical teams at insurance payers in the medical industry.

Day to day activities include 1:1 client support sessions via chat, phone calls, Zoom, and web ticketing system, remote application support, troubleshooting application issues, EDI troubleshooting, medical accounts receivable A/R management consulting, performing and attending remote/web training, and working with a Customer Success Manager to meet deadlines and deliverables. Encoda software support team members must be able to work autonomously and effectively with minimal supervision.

Responsibilities:

• Support of the Encoda BackOffice EDI platform and related systems
• Knowledge of X12 Healthcare EDI transactions related to ambulatory services in an outpatient setting
• Manage and monitor EDI activities to ensure the automated transfer of files and requests from vendors and partners are received and processed timely without incident
• Assist customers with intent and meaning of ANSI codes used by the insurance carriers during claim submission, adjudication, and eligibility processing
• Administer and create content for business rules related to claim scrubbing and posting of post adjudication files
• Support of Greenway Prime Suite in ambulatory physician groups typically ranging in size from 1-100 physicians
• Provide ongoing application support via chat, phone, ticketing portal, and Zoom for clients and customers
• Display a high level of attention to detail and consultative service skills in each customer encounter
• Conduct needs assessment and troubleshoots with thoughtful and creative solutions
• Fluidity in addressing and prioritizing incoming priorities with daily responsibilities
• Follow tasks, tickets, and assignments to resolution, timely and thoroughly
• A work smart, work hard philosophy
• Thorough working knowledge of and ensuring compliance with HIPAA and other regulatory requirements in all work, communications, and files.
• Ensure that EDI departmental procedures, policies, workflow, and system processes comply with corporate policies and objectives and meet all requirements and regulations
• Honesty, integrity, versatility, patience, and a team mindset is a must for all applicants
• Listening and effective communications
• Ability to bring new and creative dad jokes, a plus.
• All other duties as assigned

• Help desk: 1 year (Preferred)
• Windows: 1 year (Preferred)
• Medical billing: 2 year (Required)

• competitive salary
• collaborative team-based culture
• ability to learn in a respected and revolutionary company
• benefits package including PTO, 401k, flex spending, medical, dental, and vision.