| Business Analyst (Healthcare)--Remote at Remote, Remote, USA |
| Email: [email protected] |
|
http://bit.ly/4ey8w48 https://jobs.nvoids.com/job_details.jsp?id=3020928&uid=2b4160a8f9ef4f3cb24fff49b7584de9 From: Abhishek Pathak, Stellar Consulting Solution [email protected] Reply to: [email protected] Job Description: Title: Business Analyst (Healthcare) Location: Remote - PST Long Term Contract Pay rate: $65/hr. on C2C Responsibilities Primary duties may include, but are not limited to: Conducts end-to-end analysis of payer and provider workflows involving Availity transactions including Eligibility & Benefits (270/271), Claims Status (276/277), Prior Authorization (278), Attachments, and Claims (837/835). Evaluates business requirements, integration patterns, and data flows to ensure alignment with Availity capabilities and enterprise-level operational expectations. Reviews Availity response data, error codes, payer-specific rules, and transaction-level exceptions to validate accuracy, completeness, and adherence to EDI standards. Supports implementation, enhancement, and optimization of Availity portal features, API integrations, and clearinghouse configurations. Leads requirement-gathering sessions with operations, product teams, and technical stakeholders; documents functional requirements, user stories, acceptance criteria, and workflow diagrams. Assesses business impact of Availity-related changes, EDI mapping updates, and upstream/downstream process modifications. Performs root cause analysis for transaction failures, rejections, eligibility discrepancies, and authorization processing issues. Develops test plans, executes UAT, and validates end-to-end transaction integrity for enhancements related to Availity workflows. Prepares documentation, reporting summaries, analysis logs, and communication materials for both technical and non-technical teams. Conducts research and evaluation of clearinghouse rules, EDI compliance requirements, and payer implementation guides. May provide SME guidance to project teams and serve as a resource for Availity operations, payer-provider transactions, and healthcare EDI standards. Keywords: Business Analyst (Healthcare)--Remote [email protected] http://bit.ly/4ey8w48 https://jobs.nvoids.com/job_details.jsp?id=3020928&uid=2b4160a8f9ef4f3cb24fff49b7584de9 |
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| 07:50 PM 30-Dec-25 |