Healthcare EDI Analyst, Sr. provides technical support during and after implementation for electronic data interchange applications used in healthcare settings. Responds to inquiries from vendors, payors, and providers regarding EDI issues with enrollment, claims, payments, and clearinghouse activities. Being a Healthcare EDI Analyst, Sr. troubleshoots problems and deploys solutions to resolve issues. Conducts root cause analysis to prevent future problems and to suggest improvements. Additionally, Healthcare EDI Analyst, Sr. may require a bachelor's degree. Typically reports to a manager. The Healthcare EDI Analyst, Sr. occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Healthcare EDI Analyst, Sr. typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)
Infojini Consulting is a full service IT consulting, services, and staffing firm with offices in Secaucus, NJ.
Infojini Consulting is recognized as one of the fastest growing IT services and software development Companies. With a partnership of all major technology vendors, Infojini Consulting has built a strong Government and commercial customer base including fortune 100 companies and most state and federal agencies such as State of North Carolina, State of South Carolina, State of Maryland, State of California, State of Pennsylvania, State of Virginia, State of Washington and many others.
Infojini Consulting is an equal opportunity employer and considers all qualified individuals for employment irrespective of their race, gender, age, color, sexual orientation. We offer an excellent compensation package
Job details mentioned below
Position: Sr. EDI Analyst
Location: Linthicum, MD
Duration: 12 months
REQUIRED SKILLS:
A minimum of four (4) years of experience with Health Exchange EDI solutions.
A minimum of four (4) years of experience in creating EDI X12 files for transactions sets such as 834, 999 and TA1.
A minimum of four (4) years of experience in reviewing and understanding technical documents such as companion and implementation guides for Healthcare EDI formats 834 and 999.
A minimum of four (4) years of experience in analyzing/testing Healthcare/Marketplace EDI Applications.
A minimum of two (2) years of experience working with SQL databases/queries.
Strong analytical and problem solving skills.
Excellent communication skills including the ability to understand and communicate technical information to business users, and gather business requirements that can be translated into technical requirements.
Ability to manage multiple critical priorities and tight deadlines.
PREFERRED SKILLS:
Six (6) years of experience with EDI validation tools such as Edifecs, WTX, EDI X12 files.
Six (6) years of experience with transactions sets such as 834, 999 and TA1, SOA, EDI and EAI Applications.
Knowledge of 8001/IDB file processing.
Knowledge of Medicaid coverage types, coverage span and eligibility rules.
Strong knowledge in the Affordable Care Act (ACA) eligibility rules.
In-depth understanding of 834 enrollment transactions including Adds, Terminations, Cancellations and Life events.
Strong knowledge of DB2 database and SQL scripts.
Experience in quality assurance and quality control of a large scale Healthcare System.
All your information will be kept confidential according to EEO guidelines.