Healthcare EDI Analyst jobs in Maine

The Mission of The MEMIC Group is to make workers' comp work better with compassion, trusted partnerships, and relentless commitment to workforce safety. The secret to the success and longevity of great organizations is their shared vision and strong values. At MEMIC our values are to be conscientious, to be an expert, to be a partner, to be curious and to be transparent.

The EDI Assistant I is responsible for overseeing EDI transmissions, testing, research and compliance for all jurisdictions where MEMIC is licensed.

Principal Duties and Responsibilities:

• Reconcile EDI error reports and acknowledgement reports for EDI transmissions in multiple jurisdictions to ensure timely and successful transmission of claims data.
• Partner and maintain relationships with vendors, medical providers and jurisdictional parties to ensure compliance, penalties, testing and other EDI issues are resolved appropriately and timely. 
• Input First Report of Injury (FROI) and Subsequent Report of Injury (SROI) for EDI transmission on external MEMIC partner sites as appropriate per jurisdictional requirements.
• Research EDI compliance standards and maintain compliance models for all jurisdictions where MEMIC is licensed. Test and prepare trading agreements with new jurisdictions. 
• Research, respond and track First Report of Injury filings that have resulted in penalties for not recording timely in multiple jurisdictions.
• Support compliance team goals by assisting with special projects or tasks as directed by Manager, Claim Compliance.
• Work closely with internal partners and external stakeholders to provide compliance support, feedback, and assistance regarding compliance requirements and regulations.
• Monitor specific areas of concern where compliance risk is high and reports to Manager, Claim Compliance where there are issues of non-compliance.

Requirements: 

• A minimum of 1 year of customer service and/or compliance experience, or an equivalent combination of education and work experience.
• Previous experience or knowledge of Electronic Data Interchange and workers’ compensation in multiple jurisdictions a plus.
• Must be organized and detailed oriented.
• Strong written and verbal communication skills are essential.
• Must have strong ability to prioritize tasks and focus.
• Speed and accuracy in typing a must.
• A working knowledge of Microsoft Office is essential.
• Knowledge of state specific reporting requirements preferred.

Our comprehensive benefits package includes all traditional offerings such as:

• Health Insurance options, Dental Insurance options and Vision Insurance
• Employee Life Insurance/AD&D and Dependent Life Insurance options
• Short-term & Long-term Disability
• Health Savings Account with potential employer match
• Flexible Medical and Dependent Care Account
• Accident Insurance
• Critical Illness Insurance
• Employee Assistance Program
• Legal/Identify Theft Insurance options
• Long Term Care Insurance
• Pet Insurance
• 401 (k) Retirement Plan with match up to 5%, plus profit sharing & discretionary contributions (subject to vesting)
• 4 weeks of Paid Time Off (PTO)
• 7 paid holidays

We also offer other benefits to help foster a healthy, balance lifestyle such as:

• Flextime schedules
• Paid Parental Leave
• Student loan paydown and refinancing assistance
• Educational assistance for job related courses, seminars, certifications or degrees
• One paid day every year to volunteer for your non-profit of choice
• On-site fitness center (Maine & Virginia) or fitness reimbursement
• Subsidized parking
• Sit-Stand desks & daily stretch breaks

MEMIC is committed to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religious creed, national origin, ancestry, age, disability, genetics, gender identity, veteran's status, sexual orientation, or any other characteristic protected by law. MEMIC is an equal opportunity employer encouraging diversity in the workplace.