EDI Operations I Associate - Palmetto GBA

Summary
 Palmetto GBA is one of the nation’s largest providers of high-volume claims and transaction processing, contact center operations, and technical services to the federal government and other commercial customers. Our core business is providing services to CMS Medicare beneficiaries, providers, and health plans. Palmetto GBA is one of the few Medicare contractors with experience in all Medicare business segments – Medicare Part A, Medicare Part B, Durable Medical Equipment (DME), Home Health and Hospice (HHH), and Medicare Advantage (MA) Part C and Part D. This broad experience base offers CMS a contractor with unique expertise and the ability to offer customized, creative, and proven solutions to complex problems.
Description
 

Position Purpose:

Processes written requests, manages logs supporting written requests and provides telephone support for first level calls. Assists team members with work functions.

What You Will Do:

• Provides telephone support and information via the info call tracking system, managing one or more customer service logs.
• Ensures timely and accurate completion of requests about electronic data interchange (EDI) products and services, utilizing a relational database for tracking purposes. Maintains expedient and accurate service levels in filling requests for EDI products and services.
• Supports in set-up of electronic transactions, software, electronic remittances, and support of submitter testing certification.
• Oversees written and electronic requests relating to EDI.
• Prepares material for monthly audits and provides support in the audit process.
• Processes requests/responses received from other areas.

To Qualify For This Position, You Will Need:

Required Education:

• Associate's in a job related field.
• Or 2 years job related work experience

Required Skills and Abilities:

• Good organizational, judgment, customer service, and both verbal and written communication skills.
• Good spelling, punctuation, and grammar skills.
• Basic math and computer skills.
• Basic understanding of data analysis concepts.
• Ability to handle confidential or sensitive information with discretion.

Required Software and Other Tools:

• Microsoft office.
   

We Prefer That You Have:

• Customer service experience in a call center, helpdesk or front desk environment
• 1 year of exposure to EDI concepts experience
• Experience with X12 and Medicare Advantage

Work Environment: Typical office environment.

What We Can Do For You:

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have access and opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

Our comprehensive benefits package includes:

• 401(k) retirement savings plan with company match

• Subsidized health plans and free vision coverage

• Life insurance

• Paid annual leave - the longer you work here, the more you earn

• Nine paid holidays

• On-site cafeterias and fitness centers in major locations

• Wellness programs and a healthy lifestyle premium discount

• Tuition assistance

• Service recognition

What To Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure that you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

Management will be conducting interviews with the most qualified candidates, with prioritization given to those candidates who demonstrate the preferred qualifications.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

Some states have required notifications. Here's more information. 

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.

If you need special assistance or an accommodation while seeking employment, please e-mail [email protected] or call 1-800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.