Manager, Electronic Data Interchange

Remote, | Billing

Position Summary:

Postion may be remote in one of our market areas: Atlanta, Georgia; San Francisco, California; Portland, Oregon; Hartford, Connecticut; St. Louis, Missouri;  New York, New York; Charlotte, North Carolina; Newark, Delaware or Detroit, Michigan.

The EDI Manager manages all functions of the organizations claims edits and clearinghouse troubleshooting to maximize cash flow while maintaining and improving internal and external customer relations.


  • High School Diploma or GED required
  • Bachelor’s degree in Business Administration or related field preferred
Work Experience
  • 5 years of Healthcare experience required
  • 3 years of progressive management experience required
  • 2 years of accounts receivable or clearinghouse experience required
Additional Knowledge, Skills and Abilities Required
  • Strong knowledge of the Accounts Receivable process
  • Excellent phone, communication, organizational skills, computer skills and mathematical skills
  • Ability to maintain patient confidentiality
  • Strong attention to detail
  • Strong problem-solving skills and ability to make timely decisions
  • Strong knowledge of process and understanding of practice management systems
Additional Knowledge, Skills, and Abilities Preferred
  • Epic or eClinicalWorks experience
  • Experience with Microsoft Excel and Word
  • Maintain Daily communication with direct reports and team leads.
  • Maintain a high level customer service approach to working with Payment Posting Specialists, payors and centers
  • With support of the Director; interview, hire, and review team members
  • Implement audits of team’s efficiency and throughness when working outstanding AR accounts
  • Recommend team for structured quarterly bonus calculation
  • Provide training for all staff
  • Establish with Director policies for the EDI department
  • Track and document department productivity and make changes necessary in order to meet department goals
  • Ability to motivate and engage team members
  • Work with clearinghouse to troubleshoot any issues
  • Oversee the claim edits workqueue across all markets
  • Provide feedback and training as necessay to the markets
  • Update senior management regarding operational trends in regards to front desk workflows
  • Complete any clearinghouse enrollments for existing and new markets
  • Maintain clearinghouse logins
Required knowledge, skills and ability:

Customer service skills:
  • Ability to represent the Department in a professional manner when interacting with patients, guests, physicians and their staff
  • Ability to handle service issues professionally
  • Ability to follow through with customers
Communication Skills:
  • Ability to communicate effectively to patients about their medical conditions and the financial aspects of their care.
  • Ability to communicate effectively to patients, centers, and staff regarding departmental policy
Keyboard skills:
  • Ability to type proficiently
  • Ability to function effectively as extension of the Center
  • Be flexible and open-minded in thought processes
  • Maintain focus under pressure
  • Share relevant information with other team members
Medical Terminology & Insurance
  • Ability to understand basic medical terminology
  • Ability to calculate deductible and co-insurance correctly
  • Abilty to read and understand carrier Explanation of Benefits
UPDATE: COVID Vaccine Announcement: GoHealth Urgent Care is requiring all new hires to disclose their COVID-19 vaccination status in all markets. In certain markets, it will be required that new hires be fully vaccinated and boosted for COVID-19 vaccine (either the Moderna or Pfizer vaccine series or the single dose Johnson & Johnson Janssen vaccine) prior to their first day of employment. This is a condition of employment, unless a faith-based or medical exemption is approved.

All qualified persons are granted an equal opportunity for employment without regard to race, color, religion, sex, sexual orientation and gender identity or expression, age, national origin, citizenship status, disability, genetic information, medical condition, family care leave status, pregnancy or pregnancy-related condition, otherwise qualified disabled or veteran status. The company will comply with all fair employment laws in each of the jurisdictions where we conduct business.

Job, emergency, healthcare, licensure, medical, clinical, wellness, career, employment, opening, staff, benefits, health care, clinic, primary care, urgent care

Why GoHealth?

GoHealth Urgent Care has outstanding career opportunities in Connecticut, Delaware, Houston, Maryland, Michigan, Missouri, New York City, North Carolina, Northwest Arkansas, Oklahoma City, San Francisco and the Portland-Vancouver area. And all of these positions have one thing in common: flexibility to practice urgent care medicine the way it was meant to be, without the stress and bureaucracy of hierarchical organizations. With reasonable work hours that don’t emotionally exhaust or burn them out, our team can balance and prioritize their professional and personal lives.