Overview
On Site
$110,000+
Full Time
Skills
EDI
benefits
claims
Job Details
Job Title: EDI Analyst
Duration: Full Time Role
Location: Hartford, CT, Raleigh, NC, Indianapolis, IN, Richardson, TX and Tempe, AZ (ONSITE)
What Client is looking for?
Required Qualifications:
- Bachelor s degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of education.
- At least 4 years of Information Technology experience.
- Experience with healthcare payer, preferably on Claims, Benefits, and Care Management.
- Business Requirement Gathering: Collaborate with stakeholders to identify and document EDI needs specific to healthcare processes.
- System Design & Implementation: Design and implement solutions tailored to healthcare transactions like 837, 834, and 27X series.
- Data Mapping & Translation: Develop mappings, such as STTM documents, to support accurate data transformation and seamless integration across systems.
- Testing & Quality Assurance: Perform rigorous testing to ensure system accuracy, compliance, and reliability.
- Troubleshooting & Maintenance: Address system issues to maintain smooth and efficient operations.
- Collaboration & Communication: Partner with internal teams, providers, and vendors to manage workflows and resolve issues
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