EDI Specialist

About LogixHealth:

At LogixHealth we provide expert coding and billing services that allow physicians to focus on providing great clinical care. LogixHealth was founded in the 1990s by physicians to service their own practices and has grown to become the nation’s leading provider of unsurpassed software-enabled revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients in 40 states.

Since our first day, we have had a clear vision of a better healthcare system and have continually evolved to get there. In addition to providing expert revenue cycle services, we utilize proprietary software to provide valuable financial, clinical, and other data insights that directly improve the quality and efficiency of patient care.

At LogixHealth, we’re committed to Making intelligence matter through our pillars of Physician-Inspired Knowledge, Unrivaled Technology and Impeccable Service.

To learn more about us, visit our website https://www.logixhealth.com/.

Location: On-Site in Bedford, MA 

This Role: 

As an EDI Specialist at LogixHealth, you will work with internal teams to provide services that will directly improve business operations. You’ll contribute to our fast-paced, collaborative environment and will bring your expertise to ensure timely filing of insurance carrier claims, bank file retrieval, statement processing, accurate Explanation of Benefits (EOB) filing, and 835 retrieval. 

The ideal candidate will have strong technical skills, excellent interpersonal communication, and a desire to learn. 

Key Responsibilities: 

• Sending of 837 files and collection of 835 files 

• Review the Insurance Carrier Reports to resolve discrepancies or incomplete claims   

• Reconcile electronic payments by retrieving electronic bank files for each client and matching payments or denials to the corresponding insurance carrier 

• Access and store EOBs and related documents into the Touch Chart filing software system 

Qualifications: 

To perform this job successfully, an individual must be able to perform each Key Responsibility satisfactorily. The following requirements are representative of the knowledge, skills, and/or ability required to perform this job successfully. Reasonable accommodation may be made to enable individuals with disabilities to perform the duties.  

Required: 

• Proficiency with MS 365 including Teams, Word, Excel, and Outlook 

• Excellent written and verbal communication skills 

Preferred: 

• One to two years related experience 

• Prior experience with EDI operations 

Benefits at LogixHealth: 

We offer a comprehensive benefits package including health, dental and vision, 401(k), PTO, paid holidays, life and disability insurance, on-site fitness center and company-wide social events.