Healthcare EDI and Insurance Discovery Team Lead - Remote

Overview

The Healthcare Revenue Cycle EDI and Insurance Discovery Team Lead oversees a team of Analysts responsible for Electronic Data Interchange (EDI) operations and healthcare insurance coverage verification, ensuring strategic alignment with organizational goals.

In Short

• Lead and mentor a team of EDI and insurance discovery analysts.
• Define team goals and monitor performance.
• Oversee EDI transactions and ensure data accuracy.
• Collaborate with IT and vendors to resolve EDI issues.
• Guide design and execution of insurance verification processes.
• Serve as liaison between EDI insurance team and other departments.
• Conduct audits and quality checks for data integrity.
• Develop strategic plans for EDI initiatives.
• Lead training initiatives across the organization.
• Support compliance with industry regulations.

Requirements

• Bachelor's degree in relevant fields; Master's is beneficial.
• 5+ years in healthcare revenue cycle management with EDI focus.
• 3+ years in a leadership role.
• Experience with HIPAA regulated data and healthcare standards.
• Experience with healthcare management systems like Epic or Cerner.
• 5+ years in healthcare billing and coding.

Benefits

• Great compensation package and bonus plan.
• Core benefits including medical, dental, and vision.
• Flexible work environment, ability to work remote.
• Flexible time off including volunteer time off.
• Explore all benefits at yourexperianbenefits.com.