Associate, EDI Operations II

Posted:
9/4/2024, 6:21:47 AM

Location(s):
South Carolina, United States ⋅ Columbia, South Carolina, United States

Experience Level(s):
Junior ⋅ Mid Level

Field(s):
Customer Success & Support ⋅ Operations & Logistics


Summary
 

Provides first and second level technical support to a variety of customers comprising the submitter community, as well as basic internal support via analysis and research into EDI-related issues as required by business contracts.


Description
 

60% Provides quality/timely internal/external customer technical support/service for variety of insurance contracts as assigned. This encompasses, but is not limited to, support of communication interfaces/transactions/functions as required by insurance laws (such as support of claims, remit advices, inquiry/response for claims status/eligibility, enrollment, premium payment etc.), support of all current formats/transactions required by law/BCBSSC lines of business.

40% Responsible for the setup of all electronic transactions submission by processing enrollment applications, updating associated system files, and managing customer notification.

Required Education: Associate's in a job related field.

Degree Equivalency: 2 years job related work experience.


Required Work Experience: 2 years of applicable EDI experience.

Required Skills and Abilities: Good system research and analysis skills. Working knowledge of relevant EDI software and tools used by the company/contract. Good organizational, judgment, customer service, and both verbal and written communication skills. Good spelling, punctuation, and grammar skills. Basic math and computer skills. Ability to handle confidential or sensitive information with discretion.

Required Software and Other Tools: Microsoft Office.

Preferred Work Experience: 3 years-of applicable EDI experience.

Work Environment: Typical office environment.



 

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

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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.

Total Dental Administrators Inc

Website: https://tdadental.com/

Headquarter Location: Phoenix, Arizona, United States

Employee Count: 101-250

Year Founded: 1995

IPO Status: Private

Industries: Dental ⋅ Health Care ⋅ Health Insurance ⋅ Insurance ⋅ Life Insurance