Consumer Direct Care Network

  • EDI Analyst

    Job Locations US-MT-Missoula
    Posted Date 1 week ago(7/10/2018 1:20 PM)
    ID
    2018-1685
    # of Openings
    1
    Category
    MT-CDMS
  • Overview

    Company: Consumer Direct Care Network

    Position: EDI Analyst

    Schedule: Full-time

    Location: Missoula, MT (No travel required)

     

    This position is open to INTERNAL applicants only

     

    *For consideration of employment, please include a resume.* 

     

    See why Consumer Direct is a great place to work by watching our video

     

     

    POSITION OVERVIEW

     

    The CDMS Claims Processing Department (CPD) is responsible for generating, transmitting, controlling, and managing all claims for service provided by the Consumer Direct Care Network.  The CPD is organized into three teams:  Authorizations, Data Entry, and Billing. CPD staff use a variety of systems, tools and methods to support business processes. 

     

    The EDI Analyst will support CPD through providing assistance to all Billing personnel with Claims processing needs. Objectives include reviewing and facilitating claims reprocessing requests for validity, documenting and tracking all EDI claims, reviewing and assessing data to improve CPD procedures and efficiency. 

     

    In the Consumer Direct Care Network our employees are committed, dependable, professional and accountable.  We value integrity, honesty and respect for others. We have high standards for how our employees conduct themselves at work and in the communities we support. Come join our team and be a part of a rewarding career helping others!

     

    WHAT YOU WILL DO

     

    • Manage the 1EDIHelpDesk Inbox within CPD deadlines
    • Utilizing key CDMS platforms, including 1EDI, Solomon, Docuware, UTEX, and Excel to facilitate the claims creation process
    • Communicating with Analysts, Team Leads and Managers regarding problems and adjustments to current process
    • Working with payers to ensure proper EDI setup for sending/receiving ANSI files using 1EDI
    • Advising CPD leadership on best practices methods to promote efficiency for both initial and re-billing scenarios
    • Documenting EDI procedures for development and improvement

     

    QUALIFICATIONS

     

    • Bachelor’s Degree preferred
    • Excellent verbal and written communication skills
    • Strong attention to detail
    • Ability to multi-task in a fast-paced environment
    • Strong organizational/project management skills
    • Functional knowledge of key CDMS platforms mentioned above
    • Ability to work independently
    • Data structure and file processing knowledge, specific to ANSI 835/837 files

     

    WHAT'S IN IT FOR YOU

     

    When you join Consumer Direct Care Network, you will be exposed to numerous professional development opportunities.  We welcome your contributions and value your integrity as we collaborate on work that moves us all toward a compassionate community.  We have a long history of helping individuals build their careers in the home-care industry.  This is truly a place where there is something for everyone, whether you are looking to support a particular lifestyle, seeking professional growth, or seeking new and challenging work, all in an expanding nationwide company with that small-company feel.

     

    Most importantly, you will experience the satisfaction of working in a culture built on caring.  Caring for others comes naturally at Consumer Direct Care Network, based in our long history of connecting people and championing change, all geared toward helping others.  We are proud of the longevity and loyalty of our employees.  Their commitment to doing good work is what makes us a leader in the industry.

     

    As a Consumer Direct Care Network team member you will receive:

    • Benefits for all employees
    • Rewarding career helping others
    • Fun and engaging work environment built on team unity
    • Paid Time Off for the things you love to do
    • Holiday and Sick Time available
    • Retirement planning
    • Professional training to help advance your skills for career development 
    • Job satisfaction knowing you make a difference in the work you do and lives we serve

                           *Benefits may vary depending on employment status*

     

    WHO WE ARE

    Consumer Direct Care Network specializes in home and community-based services that assist older adults and individuals of all ages with disabilities and impairments to continue to live their lives independently in their own homes and communities. We provide coordinated service delivery in 14 states and the District of Columbia. Our services span from financial management services and support brokerage to traditional agency home care and caregiving, to home health and hospice, to behavioral health. We have extensive experience with Medicaid, Medicare, private insurance, and with supporting people who pay for their own care. 

     

    Your opportunities within our network are endless, it’s not just a job, it’s a career… advance it with the Consumer Direct Care Network!

     

    The Consumer Direct Care Network and its subsidiaries are an Equal Opportunity Employer and drug-free workplace.

     

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