EDI Eligibility Specialist

Posted 2026-05-06
Remote, USA Full-time Immediate Start

<div class="benefits"> <div><strong>Benefits:</strong></div> <ul> <li>401(k)</li> <li>401(k) matching</li> <li>Bonus based on performance</li> <li>Dental insurance</li> <li>Health insurance</li> <li>Opportunity for advancement</li> <li>Paid time off</li> <li>Parental leave</li> <li>Savings bank</li> <li>Training & development</li> <li>Vision insurance</li> <li>Wellness resources</li> </ul> </div> <div class="trix-content"> <div><strong>About the Role:</strong></div><div>Join MedPOINT Management as an EDI Eligibility Specialist and play a crucial role in ensuring seamless electronic data interchange processes. Be part of a dynamic team in Sherman Oaks, CA, dedicated to improving healthcare access and efficiency.<br><br><strong>About Us:</strong> </div><div>MedPOINT Management has been a leader in healthcare management solutions for over a decade. Our clients appreciate our commitment to excellence and innovation, while our employees value a supportive work environment that fosters professional growth and collaboration.</div><div><br></div><div><strong>Responsibilities:</strong></div><ul> <li>Process and validate EDI eligibility requests for accuracy and compliance.</li> <li>Collaborate with healthcare providers to resolve eligibility discrepancies.</li> <li>Monitor and analyze eligibility reports to identify trends and issues.</li> <li>Maintain up-to-date knowledge of insurance policies and regulations.</li> <li>Assist in the development and implementation of EDI processes and procedures.</li> <li>Provide exceptional customer service to internal and external stakeholders.</li> <li>Document and track eligibility inquiries and resolutions in the system.</li> <li>Participate in team meetings to discuss improvements and best practices.</li> </ul><div><strong>Requirements:</strong></div><ul> <li>1-3 years of experience in EDI processing or healthcare eligibility.</li> <li>Strong knowledge of healthcare insurance plans and eligibility requirements.</li> <li>Proficiency in EDI software and data management systems.</li> <li>Excellent analytical and problem-solving skills.</li> <li>Strong communication and interpersonal skills.</li> <li>Detail-oriented with a focus on accuracy and compliance.</li> <li>Ability to work independently and as part of a team.</li> <li>High school diploma required; relevant certifications a plus.</li> </ul> </div> <p>This is a remote position.</p>

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