EDI Analyst

Scope Of Role & Responsibilities

• Configure, test, maintain, enhance, and support HIPAA EDI (837, 835, 834, 270, 271, 276, 277, 278) transactions and applications
• Support day-to-day operations of EDI, including identifying any technical problems with sending/receiving transactions
• Interact with Trading Partners, providers, vendors and internal departments to address technical issues related to EDI
• Review electronic data received from providers/vendors to ensure presence and accuracy of critical data elements
• Liaison between the business users and technical teams to build and improve the system based on business needs and requirements
• Create and simplify EDI Export and Import processes and collaborate with EDI trading partners, payers or vendors
• Coordinate with our vendors, open cases on the issues at a system functionality level, and support the internal business stakeholders
• Acquire and evaluate all project documentation for testing and compliance to meet quality assurance requirements
• Maintain upkeep of system setup and processes to ensure accurate and optimum setup for both provider and member selection

Required Education, Training & Professional Experience

• Bachelor’s Degree in Computer Science or a related technical discipline
• Minimum five years of full-time experience analyzing health care related data in a health-care environment
• Experience with HIPAA data transaction required
• Proficient in use of Microsoft Office applications
• Ability to run Access queries and SQL required

Professional Competencies

• Integrity and Trust
• Customer Focus
• Functional/Technical skills
• Able to work independently and to attend to detail
• Excellent written and verbal communication skills
• Strong project management and data analysis skills