EDI Subject Matter Expert (SME) Job at Stellent IT LLC, Remote

S1ZjL3REYkt0YjBGWVhJMjd3Y0w5N2Fjb0E9PQ==
  • Stellent IT LLC
  • Remote

Job Description

Role : EDI Subject Matter Expert (SME)

Location : Remote

Job Type : Contract

We're seeking an EDI Subject Matter Expert (SME) with hands-on experience in CMS enrollment reconciliation (RCNI/RCNO, Pre-Audit, 834) to support a six-week consulting engagement. The role involves assessing current reconciliation processes, identifying root cause issues, and producing workflow/process documentation to guide long-term improvementsIf you have strong CMS exchange and ACA enrollment expertise, we'd like to connect.

Can you please have your candidates answer the following questions:

  1. Please walk me through your hands-on experience with the RCNI/RCNO reconciliation process from start to finish. Please include which tools or platforms (e.g., Edifecs, Sterling, SQL, Excel) you've used to support this work.(If you have any examples of your work that you can share that would be greatly appreciated.)
  2. Have you ever served as a subject matter expert or trainer on the RCNI/RCNO process? If so, how did you help your team or organization improve accuracy, efficiency, or understanding of CMS reconciliation requirements?
  3. When you identify recurring issues in RCNI/RCNO reconciliation (such as mismatched 834 data or persistent CMS rejections), how do you approach root cause analysis and ensure long-term process improvements rather than one-time fixes?

Email- avinashk@stellentit.com Phone Number : +1 321 7856 062

STELLENT IT A Nationally Recognized Minority Certified Enterprise

" Happiness can be found, even in the darkest of times, if one only remembers to turn on the light ."
- JK Rowling

Job Tags

Contract work, Remote work,

Similar Jobs

Mama's Java Cafe

Line Cook - Breakfast, Lunch, Cafe, Kitchen Job at Mama's Java Cafe

 ...Join the Mamas Java Family Line Cook (Breakfast & Lunch Only!) Nolensville, TN | Locally Owned Since 2010 About Us Mamas Java Cafe isnt just a coffee shop were a family. Since opening our doors in 2010, weve been serving up fresh, made-to-order breakfast... 

Allied Universal® Compliance and Investigations

Surveillance / Claims Investigator - Part-Time Job at Allied Universal® Compliance and Investigations

 ...Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation...  ...adjusting complex claims Ability to be properly licensed as a Private Investigator as required by the states in which you work Post... 

Mintahoe Catering & Events

Private Airline Catering Chef Job at Mintahoe Catering & Events

 ...Chef Catering Private Aviation Atikis MN Aviation Catering is hiring a chef to work at our Twin Cities commissary located in Saint Anthony, two miles west of Rosedale. Your qualifications include: Experience with food preparation. A history of working effectively in... 

Signature Companies

High Value Residential Insurance Inspector Job at Signature Companies

 ...innovator in providing quality, professional and unparalleled service to our client partners. At Signature Companies we are a High Value Insurance information provider, dedicated to superior customer service, superior quality, and superior time service. Signature Companies... 

TradeJobsWorkforce

Delta Airlines Remote Customer Support - Work From Your Own Home Job at TradeJobsWorkforce

Working as a Customer Service Agent ("CSA") is central to demonstrating that we understand the demands of air travel and our goal is to make the experience as smooth and enjoyable as possible. As a member of our ground crew, you will work in an enjoyable team environment...