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Associate – EDI (Electronic Data Interchange)

HealthRecon Connect LLC    Colombo, Kandy • Full-time

HealthRecon Connect provides technology-enabled Revenue Cycle Management solutions to US healthcare providers. The company leverages over 30 years of deep domain expertise, machine learning, AI, cutting-edge analytics, and automated workflows that help improve cash flow, patient outcomes and enable peace of mind for their clients. At HealthRecon Connect, day after day, we not only hold ourselves accountable for setting and maintaining high standards, but we also passionately strive for the highest achievement, customer delight and thrive on the challenge of high expectations and commitment to excel.

HealthRecon was certified a Great Workplace by Great Place to Work® Sri Lanka since 2018 and was adjudged one of the 40 Best Workplaces in Sri Lanka by Great Place to Work® Sri Lanka in 2021. We are also a participant of the United Nations Global Compact.

We are looking for Associate – EDI (Electronic Data Interchange) to join our team. Please review the criteria and other information listed below thoroughly prior to applying and pay specific attention to the work week, shift details and other features of the job.

Due to the large volume of applications we receive, all applications will be reviewed in the order in which they were received and only the candidates short-listed for the first round of interviews will be contacted. Thank you for your understanding.

Job Vacancy:
Associate – EDI (Electronic Data Interchange)

Work Week:
Monday to Friday

Shift Window:
2.00 PM – 11.00 PM IST (straddle shift)

Important: HealthRecon Connect currently operates under a hybrid work arrangement, with the number of remote workdays varying by team. However, depending on client deliverables and business needs, employees may be required to work on-site for all five weekdays.

By applying, you acknowledge and agree to be available for in-person work five days a week if required.

Other Features:
6 months contract
US calendar applicable

Responsibilities:

  • Manage EDI transactions, agreements, EFT setups, and payer portal access.
  • Maintain accurate EDI records, reports, and documentation.
  • Monitor and troubleshoot EDI issues to ensure timely resolution.
  • Collaborate with internal teams, insurance payers, and healthcare providers to resolve issues.
  • Ensure compliance with HIPAA and healthcare regulations.
  • Maintain 98%+ accuracy in credentialing payer follow-ups and call quality.
  • Support training and onboarding of new employees on job-specific processes.

Qualifications/Criteria:

  • Partially qualified in any degree/professional qualification.
  • Minimum 1 year experience in BPO sector is mandatory.
  • Technical Competency in EDI Systems and/or Knowledge of Healthcare Revenue Cycle is an added advantage.
  • Exceptional written and verbal communication skills.
  • Ability to thrive in high-pressure environments and deliver results under tight deadlines.
  • Ability to work with MS Office package.