Support Engineer -Clearinghouse

Job Description

Job Description

As a technology leader in healthcare process automation and interoperability, Smart Data Solutions (SDS) is a strategic partner that utilizes data and intelligent automation to digitally transform operations and deliver outcomes for clients which reduces costs, streamlines workflows, and improves overall customer experience.

Looking to the future, Smart Data Solutions has ambitious growth plans for the next few years and is currently seeking Support Engineers to join our Clearinghouse team!

What you’ll be doing?

Understanding Clearinghouse Operations :

• Spearhead the implementation of Healthcare Clearinghouse practices , including mastery over X12 EDI transactions (837, 835, 270 / 271, 276 / 277), and ensure compliance for CAQH requirements .
• Gain a deep understanding of the clearinghouse’s operations, including its role in facilitating transactions between different parties.

Customer Interface Development :

• Design and develop user interfaces that allow customers to interact with the clearinghouse efficiently.
• Ensure the interface is user-friendly, secure, and complies with all relevant regulations and standards.
• Meet project deadlines.

System Configuration :

• Configure the backend systems to support the clearinghouse operations, including setting up databases, servers, and network configurations.
• Maintain necessary protocols for secure data.

Compliance and Security :

• Ensure that the system meets all regulatory requirements and standards for data privacy and security.
• Stay updated with changes in process that may affect the clearinghouse operations and make necessary adjustments to the system.

Testing and Quality Assurance :

• Conduct thorough testing of the customer interface and system configurations to ensure reliability and performance.
• Address any issues found during testing and refine the system accordingly.

Documentation and Support :

• Create comprehensive documentation for the system configuration and customer interface.
• Provide ongoing support and training to users of the clearinghouse system.
• Monitor customer performance until support hand-off.

Communication :

• Communicates to customers (via emails and phone calls) about SDS workflows.
• Communicates to client of any critical production issues that may affect a customer’s production process.
• Communicates to development manager or COO on any critical production issues related to client.
• Adheres to SDS’s courteous and professional, written and verbal, communication standards.
• Consistently high rating on customer satisfaction surveys.
• Responds to all customer emails and phone calls promptly and courteously in accordance with SDS communication policy.
• Performs other related duties as assigned.

Production :

• Manages daily production for assigned customers.
• No batches or claims ever delayed or overlooked due to technical issues.
• Performs other related duties as assigned.

Required Skills :

• Proficiency with Java
• Proficiency with Unix-like operating systems
• Proficiency with Windows operating systems
• Knowledge of relational databases
• Oral Communication
• Written Communication
• Math Aptitude
• Organization
• Professionalism
• Reading
• Time Management

Requirements :

• At least a 4-year technical degree (or equivalent)
• 0-5 years similar experience
• Experience with technologies listed in previous section

Why this is the company for you?

Top Benefits & Perks :

• A company culture that is authentic and values forward thinking, collaboration, and fairness! We work hard for our customers and have fun along the way!
• A professional development and growth-oriented workplace
• Generous benefits including, health insurance, short-term, and long-term disability
• 401(k) with a company match to provide a better future in your retirement years
• Work-life balance with competitive paid time off package; including vacation, holiday, and a floating day

Who is Smart Data Solutions?

For over 20 years, Smart Data Solutions has been partnering with leading payer organizations to provide automation and technology solutions enabling data standardization and workflow automation.

The company brings a comprehensive set of turn-key services to handle all claims and claims-related information regardless of format (paper, fax, electronic), digitizing and normalizing for seamless use by payer clients.

Solutions include intelligent data capture, conversion and digitization, mailroom management, comprehensive clearinghouse services and proprietary workflow offerings.

SDS’ headquarters are just outside of St. Paul, MN with 300+ employees and leverages dedicated onshore and offshore resources as part of its service delivery model.

The company counts over 420 healthcare organizations as clients, including a number of Blues plans, large regional health plans and leading independent TPAs, handling over 500 million transactions of varying types annually with a 98%+ customer retention rate.

SDS has also invested meaningfully in automation and machine learning capabilities across its tech-enabled processes to drive scalability and greater internal operating efficiency while also improving client results.

SDS recently partnered with a leading growth-oriented investment firm, Parthenon Capital, to further accelerate expansion and product innovation.

Location :

This position is located in the Dallas, TX office. This is a hybrid position with requirements of 3 days in office per week.

Smart Data Solutions is an equal opportunity employer.

All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or other legally protected status.