| EDI Analyst w/ HealthCare domain at Remote, Remote, USA |
| Email: [email protected] |
|
Hello, Job Title: EDI Analyst Location: Remote Duration: Long Term Pay Rate: $50/hr. On C2C(AI) Must have: EDI experience - Healthcare experience - Payer connectivity - X12 transactions Note: - They are looking to have one/done interviews this week. - They need someone who has good communication/personality who can deal with tough issues/situations. - The main pieces that this candidate needs are healthcare, EDI Transactions, exposure to project management, experience in the payers space. - They need someone on the operational side NOT in the development space. The EDI Analyst will manage and support the electronic exchange of healthcare information. Responsibilities include establishing connectivity to exchange transactions, monitoring and troubleshooting EDI transactions, ensuring compliance with HIPAA regulations, and collaborating with internal teams and external partners. The role involves optimizing product solutions, supporting process improvements, and navigating automation and AI technologies. The EDI Analyst will also manage payer-specific edits and leverage internal relationships to resolve transaction issues, all while handling multiple tasks in a fast-paced environment. Monitor and troubleshoot EDI transactions to resolve errors promptly. Collaborate with internal teams and external partners on EDI issues. Ensure EDI transactions comply with HIPAA regulations. Communicate EDI connectivity issues with stakeholders. Identify process improvement opportunities with IT, operations, and business teams. Strong knowledge of transaction sets (270/271, 276/277, 278, 837, 835) and Patient Estimates. Optimize product solutions by managing payer-specific edits. Handle multiple tasks in a fast-paced environment. Support automation and AI technologies. Leverage internal relationships to resolve transaction issues. Work all Salesforce Case and Jira(s) timely, Document issues in Salesforce, Jira or any other established tools Communicate with internal and external stakeholders regarding EDI, API, and web/screen capture connectivity issues. Develop and maintain EDI documentation, including companion guides, smart checklists, payer lists, and internal process documentation. Host external working sessions with trading partners, vendors, and clients as needed. Maintain and grow direct connections with product and technology teams. Provide training and support to internal teams on EDI processes and best practices. Qualifications: Strong knowledge of EDI protocols and standards (27x and 83x healthcare transactions). Solid understanding of healthcare reimbursement and patient access workflows. Excellent analytical and problem-solving skills for complex EDI issues. Proficiency with Salesforce, Atlassian JIRA, Microsoft 365, Excel. Strong organizational skills for project completion and documentation. Adaptable to changing environments and workloads. Excellent verbal and written communication skills. High attention to detail and accuracy in EDI transactions and documentation. Familiarity with agile methodologies (Scrum, Kanban). Knowledge of EDI communication protocols (AS2, SFTP, API). Experience with EDI integration in healthcare management systems (e.g., Epic, Cerner). Demonstrated SQL query skills/experience preferred. EcareNext/PE familiarity preferred. --- Thanks Srujana Can reach me at 605-674-2119 -- Keywords: artificial intelligence information technology EDI Analyst w/ HealthCare domain [email protected] |
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| 09:10 PM 07-Jan-25 |