EDI Analyst I

Responsibilities

• Performs EDI setups of clearinghouse information and ACH payments to customers following specified procedures.
• Maintains procedures as needed with appropriate updates.
• Performs setups of data exchanges between entities for health plans.
• Validates data locations from customer data feeds.
• Maps data feeds into Health Plan formats.
• Where appropriate, loads, monitors and tests incoming and outgoing EDI transactions in a timely manner.
• Ensures the accuracy of data, analyzes conflicting data, works with partner entities to verify and resolve data errors.
• Communicate in a professional manner (verbal and written) with customers and team members when there are problems or changes required.
• Provides documents to providers and outside agencies as required.
• Affix with projects as required.

Qualifications

• Required for Level 1: Associate's degree, or equivalent experience in an IT setting.
• Proficient in Microsoft business applications.
• Experience in collecting, organizing, analyzing, and presenting data.
• Required for Level 2: Associate's degree, or equivalent experience in an IT setting.
• One year of experience with Health Plan EDI processes.
• Proficient in Microsoft business applications.
• Experience in collecting, organizing, analyzing, and presenting data.
• Solid understanding of EDI ANSI X12 transactions.