EDI Analyst

  • location: San Antonio, TX
  • type: Temp to Perm
  • salary: $36 - $38 per hour

job description

EDI Analyst

A client of ours in San Antonio, TX is looking for a EDI Analyst for a contract-to-hire opportunity.

Qualified candidates will have the following skills:

  • Bachelor's Degree in Computer Science or related field
  • Minimum of 3-5 years relevant work experience in managed health care is a must.
  • Prior experience in an EDI Analyst role in a healthcare claims adjudication system/environment is a must.
  • Comprehensive knowledge of HIPAA EDI 5010 X12 837 and 999 files, including detailed understanding of all relevant loops and file structures is a must.
  • Knowledge of reporting comprehensive Eligibility data is a must.
  • Communication and coordination skills: Ability to lead development efforts and client meetings is a must.
  • Ability to provide critical analysis on client needs as well as attention to details and accurately documenting processes.
  • Experience developing eligibility transactions set maps and processes in HIPAA EDI 5010 X12 based on business needs is a must.
  • Ability to work with multiple implementation partners (external and internal) to support submission of 837 encounters data for processing and storage.
  • Provide data at the request of end users or management, research questions involving EDI applications and how the data is organized and populated.
  • Provide assistance and training in eligibility data processing with project team.
  • Design and execute EDI test plans. Provide timely communication amongst clients on a daily/weekly/monthly basis as well as ad-hoc.
  • Experience in implementation of control and reconciliation reports.
  • Knowledge and understanding of relational database environments.
  • Familiar with data warehouse concepts, designs & ETL processes
  • Familiar with SDLC and Agile methodologies
  • SQL Server database (2012) knowledge is a plus.
  • Experience and knowledge in using other Healthcare EDI transactions is a plus
  • Maintain detail documentation and process flow of all EDI processes
  • Experience writing SQL queries in SQL Server.
  • Experience in structured, data-driven, functional logic programming
  • Team oriented with the ability to work effectively across functional areas of the company.
  • Excellent analytical, problem resolution and people skills.
  • Ability to deliver quality results under tight deadlines.
  • Ability to work independently with moderate supervision.
  • Understanding of vision care insurance data is a plus.

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