Title: EDI Analyst

Location: Work from Home

Note: This role is NOT open to C2C or 3^rd party candidates

The EDI Analyst will provide support for the EDI Operations department by interfacing with internal and external customers, including Business Analysts, Software Developers, Project Managers, trading partners, and software vendors. This role is responsible for managing a range of EDI transactions, including enrollment, claims, financial, and eligibility transactions using ANSI X12 HIPAA compliant formats. The EDI Analyst will provide technical support for the implementation of EDI connections with external parties, including responding to inquiries related to EDI transactions, conducting analysis of EDI transactions, providing issue resolution, when necessary, and handling multiple enhancement requests and projects, as directed.

Job Duties:

• Demonstrate knowledge of EDI standard formats and communicate complex data exchange concepts to internal and external parties; interface professionally with various internal and external customers, including Operations, Sales, Marketing, IS, and trading partners to understand and process work requests
• Support the implementation of electronic data interchange connections between internal and external parties; support ongoing implementations in post-production, including error identification/resolution, continuous improvement, and pro-active communication with trading partners and providers to reduce/prevent errors
• Verify and monitor EDI processes, troubleshoot and resolve EDI related issues, and develop and maintain procedural documentation
• Follow-up comprehensively with all stakeholders during issue remediation process to assure that delays are minimized and the process runs smoothly
• Assist in defining application enhancements and upgrades
• Perform application configuration, mapping, and monitoring of EDI transactions and processes.
• Support application testing effort by performing user acceptance testing (UAT) and assisting in defect resolution
• Provide on-call support, as necessary

Job Qualifications:

• 2+ years of relevant experience in the healthcare industry
• 2+ years of relevant experience analyzing EDI data to identify content and/or formatting issues, including communicating professionally, both verbally and written, with internal/external customers
• 2+ years of relevant experience using SQL queries to retrieve and display data
• 2+ years of relevant experience reading/analyzing/formatting/translating EDI data
• 2+ years of relevant experience implementing EDI setups and mapping
• 2+ years of relevant experience with Facets, OnBase, or other similar healthcare enrollment/claims/configuration management software system preferred
• A minimum of an Associate's Degree in Computer Science or other related field required; Bachelor’s and/or Master's Degrees preferred

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