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EDI Analyst

Eingestellt von Enclipse Corp.

Gesuchte Skills: Support, Design

Projektbeschreibung

39760-EDI ANALYST 

PASADENA, CA 91103

POSITION TYPE: W2

CONTACT DURATION: 12 MONTHS + (STRONG POSSIBILITY OF EXTENSION)

Overall Function Summary 

Coordinates and implements plans for all functional aspects of HIPAA (Health Insurance Portability & Accountability Act) Administrative Simplification rules which includes uniform national standards for electronic health administration transactions, code sets, identifiers, and privacy requirements. Develops and maintains mappings from proprietary electronic formats to the national electronic standard format. Maintains trading partner agreements and service level agreements with all internal customers. Leads and coordinates testing activities, educates users and technical staff on appropriate use of maps. Develops and maintains metrics, participates in external working sessions. Leads and coordinates problem solving efforts and makes recommendations for their resolution or solves as appropriate. 

Responsibilities 
-         Coordinates and assists in the identification, implementation, and maintenance of EDI activities among assigned business areas. 
-         Establishes and supports communication with EDI users to share information, identify opportunities, and resolve problems related to EDI, prioritize customer requirements and maintain continuous improvement through customer feedback. 
-         Serves as the point of contact on status of EDI transaction activities from internal and external customers. Monitors the EDI programs, vendor performance and customer satisfaction to ensure timely and accurate results from EDI. 
-         Coordinates EDI processes which promote common EDI usage that are also user friendly for all business areas. 
-         Educates and trains staff of assigned business areas on EDI applications. Keeps abreast of EDI standards and trends. Develops and manages EDI documentation for internal and external use. 

Requirements 
-         Knowledge of Healthcare EDI transactions (270/271 Eligibility, 837 Claims, 276/277 Claims Stats, 278 referral Authorization, 835 Electronic Remittance Advice, and EFT). 
-         Must have at least one to two years experience in EDI 
-         Must have three or more years of claim processing experience and/or technical helpdesk support experience. 
-         Bachelor's degree 
-         HIPPA Professional Certification preferred 
-         Understanding of organizational design, project management, and process improvement strategy. 
-         Good customer service interaction skills 
-         Able work with minimal supervision 
-         Knowledge of provider billing methodology, medical clearing house operations, and national standards development organizations 
-         Knowledge of computer operations systems, data input/output/techniques, database-driven transaction processing, and computer hardware constraints as they apply to software applications. 
-         General understanding of healthcare terminology and business functions. 

Projektdetails

  • Vertragsart:

    Contract

  • Berufserfahrung:

    Keine Angabe

Geforderte Qualifikationen

Enclipse Corp.