XiFin, Inc. · 3 months ago
Sr. Support Specialist EDI
Charleston, SC, US
Full-time
Onsite
Senior Level
$17/hr - $25/hr
5+ years expXiFin, Inc. is a healthcare technology company focused on improving operational efficiency in the healthcare sector. The Senior Support Specialist EDI will lead the coordination with healthcare payers, manage claims submissions, and interpret payer reports to enhance the effectiveness of EDI operations.
Enterprise SoftwareHealth CareHealth DiagnosticsInformation TechnologyMedical DeviceSoftware
Responsibilities
Lead the oversight of EDI file submissions to healthcare payers and manage the receipt and interpretation of payer reports, ensuring compliance with regulatory standards
Strategically update and maintain proprietary systems, enhancing accuracy and alignment with industry best practices
Analyze complex claim issues, including batch and claim rejects, and provide mentorship and guidance to junior team members in resolving these challenges
Monitor payer communications, ensuring timely and effective responses to inquiries and issues while fostering strong relationships with stakeholders
Maintain and enhance comprehensive documentation of EDI processes, updates, and best practices for continuous improvement
Collaborate with IT and cross-functional teams to identify, develop, and implement process improvements and system enhancements that drive operational efficiency
Facilitate training sessions and mentorship for entry-level staff and new hires, promoting a culture of knowledge sharing and professional development
Qualification
Required
Bachelor's degree in healthcare administration, information technology, or a related field is strongly preferred; advanced degrees or certifications are a plus
Minimum of 5 years of experience in EDI support or a similar role within the healthcare industry, with demonstrated leadership capabilities
Extensive knowledge of Medicare/Medicaid policies and EDI standards, with the ability to interpret and apply regulatory changes effectively
Proficient in MS Office applications (Word, Excel) and EDI-related software; experience with EDI integration and automation tools is a plus
Possess exceptional analytical skills and problem-solving abilities, with a talent for troubleshooting complex issues and developing strategic solutions
Have outstanding communication and interpersonal skills, with a proven ability to facilitate collaboration across diverse teams and stakeholders
Can manage multiple priorities, thrive in a fast-paced environment, and lead projects to successful completion
Benefits
Comprehensive health benefits including medical, dental, vision, and telehealth
401(k) with company match and personalized financial coaching to support your financial future
Health Savings Account (HSA) with company contributions
Wellness incentives that reward your preventative healthcare activities
Tuition assistance to support your education and growth
Flexible time off and company-paid holidays
Social and fun events to build community at our locations!
Company
XiFin, Inc.
XiFin is a healthcare information technology company that empowers healthcare organizations to navigate an increasingly complex and evolving healthcare landscape.
1001-5000 employees
H1B Sponsorship
XiFin, Inc. has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (6)
2024 (6)
2023 (8)
2022 (6)
2021 (6)
2020 (5)
Funding
Current Stage
Late StageTotal Funding
$8MKey Investors
Goldman SachsWindward Ventures
2025-09-03Series Unknown
2014-07-30Acquired
2006-09-11Series D· $2M
Leadership Team
Erik Sallee
EVP and Chief Financial Officer
Jeff Carmichael
Senior Vice President Of Engineering
Recent News
Company data provided by crunchbase