Trading Partner Operations Specialist - Waystar
Duluth, GA
About the Job
ABOUT THIS POSITION
Function as a Trading Partner Operations Specialist for EDI connection projects with Waystar trading partners. Coordinators must fully understand all requirements to complete the connection, assign tasks to internal and external resources and ensure the project is delivered on time and within budget. Effectively communicate project requirements to the project team which will include both technical and non-technical individuals. Coordinators will audit EDI transactions to ensure accurate data processing for our clients. Support payer activities and system changes. Continuously improve the department processes and procedures to ensure the highest value possible for our customers.
WHAT YOU'LL DO
- Owner of all responsibilities related to Payer Projects
- Establish new payer connections as directed by the Trading Partner Operations Sr. Manager following established departmental procedures
- Provide insight and direction to the development process as it relates to EDI transactions
- Communicate closely with Operations, IT, Sales, and the other analysts in development of new payer connections
- Escalation point between production and payer to meet the operational deliverables for the payer and management of expectations
- Review payer and route bulletins and take appropriate action as necessary
- Contribute to the constant and continuing population and enriching of a route contact database and direct connect information
- Monitor all payer projects to ensure timely completion of projects and project stages.
- Maintain current action item list for each project,
- Develop a basic understanding of the production reports as they relate to payer connections
- Implementation of transactions with Waystar’s trading partners
- Maintenance of Waystar's payer list
- Coordinate with Trading Partner Operations Sr. Manager on process needs
- Trading Partner Operations Salesforce queue triage
- Conduct provider testing as needed
- Implementation specialist for industry mandates affecting EDI
- Notification of industry changes and payer maintenance to clients
- Coordination of route hand-offs to EDI production
- Meet standards of implementation quality checks
- Document and update processes and workflow for efficient payer projects
WHAT YOU'LL NEED
- Demonstrated project management skills.
- Excellent written and verbal communications skills.
- Excellent analytic and problem solving skills.
- Knowledge of Windows-based computer environment, including MS Office and related programs.
- Active ownership and responsibility regarding duties and task.
- Ability to work unsupervised in a corporate environment.
- Knowledge of healthcare claims transactions
- 2-year or 4-year college degree or equivalent experience.
- General EDI knowledge
ABOUT WAYSTAR
Through a smart platform and better experience, Waystar helps providers simplify healthcare payments and yield powerful results throughout the complete revenue cycle.
Waystar’s healthcare payments platform combines innovative, cloud-based technology, robust data, and unparalleled client support to streamline workflows and improve financials so providers can focus on what matters most: their patients and communities. Waystar is trusted by 1M+ providers, 1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid/Medicare payers. We are deeply committed to living out our organizational values: honesty; kindness; passion; curiosity; fanatical focus; best work, always; making it happen; and joyful, optimistic & fun.
Waystar products have won multiple Best in KLAS® or Category Leader awards since 2010 and earned multiple #1 rankings from Black Book™ surveys since 2012. The Waystar platform supports more than 500,000 providers, 1,000 health systems and hospitals, and 5,000 payers and health plans. For more information, visitwaystar.com or follow@Waystar on Twitter.
WAYSTAR PERKS
- Competitive total rewards (base salary + bonus, if applicable)
- Customizable benefits package (3 medical plans with Health Saving Account company match)
- Generous paid time off starting at 3 weeks + 13 paid holidays including 2 personal floating holidays
- Paid parental leave (including maternity + paternity leave)
- Education assistance opportunities and free LinkedIn Learning access
- Free mental health and family planning programs, including adoption assistance and fertility support
- 401(K) program with company match
- Pet insurance
- Employee resource groups
Waystar is proud to be an equal opportunity workplace. We celebrate, value, and support diversity and inclusion. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, marital status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
This applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
