Healthcare EDI Analyst


Change Healthcare


Posted Under: Pensacola, Florida jobs in Healthcare; Healthcare jobs
Posted On: 2020-03-27 00:00:00

The position involves the analysis, resolution, and documentation of activities related to inbound and outbound transactions to healthcare systems. The job requires working closely with the IT and Support teams across several application areas to resolve transaction and data issues to meet the customer s needs. Problem analysis and documentation of healthcare system EDI transactions and other inboundoutbound data processes. Analyzes, and assess areas for performance improvements. Recommends and implements changes for better system process performance. Works closely with Quality Assurance to ensure accurate delivery of project requirements and compliance with standards, EDI code quality and accepted conventions. Maintains and manages EDI Trading Partner agreements and system configuration. Reviewing system transaction logs for problem areas Recommends and assist with development of checks and balance reports for inbound and outbound transactions. Requirements Years of experience 4+ years of relevant work experience working with EDI in a high volume data processing environment Education Bachelor s Degree. Experience in healthcare andor EDI related field may substitute for required education. Critical Skills A minimum of 5 years of EDI working with EDI in a high volume data processing environment. Knowledgeable of ANSI specifications (ANSI 834, 835, 837 276277, 278, 270271) and ability to determine ANSI related problemserrors Experience working with EDI validation tools (eg. Tibco, Edifecs, etc). Additional SkillsResponsibilities Responsible for tracking and resolving EDI system problems, developing and maintaining reporting to identify and correct EDI file issues. Proficient with using SQL for reporting and identifying data issues. Experience modifying and running batches used for loading EDI and other proprietary transactions into a database Must be self-motivated, have the ability to work independently with minimal supervision Strong written and verbal communication skills Ability to maintain confidentiality with sensitive customer and internal information Strong technical aptitude and ability to research, document and solve complex issues independently Experience with HealthCare Transaction processing, Clearinghouse Operations, X12 EDI Experience with the Tibco or Edifecs EDI products are a plus Experience using Microsoft Team Foundation Server is a plus Experience with the TriZetto Facets system is a plus Experience with HealthEdge Health Rules Payor