EDI Business Implementation Analyst
EDI Business Analyst
HealthCare Support is actively seeking an EDI Business Analyst to fill an opening with a prestigious Healthcare Organization in Indiana.
Daily Responsibilities for EDI Business Analyst:
Principal Duties and Responsibilities:
- Coordinate and support the implementation of new Medicaid, Commercial and Marketplace lines of business by ensuring claims intake requirements are clearly defined and met
- Manage setup, testing and validation of EDI Transactions to ensure compliance with HIPAA and payer specific requirements
- Oversee workflows and systems for intake, imaging and data capture of paper claims ensuring timely and accurate conversion to electronic format
- Partner with IT, Provider Services, Configuration, Claims Operations and eBusiness Leadership to ensure smooth integration and readiness for go-live activities.
- Develop and document business requirements for claims intake and processing, ensuring alignment with regulatory and operational standards
- Design and execute test plans for claims intake systems and processes, including EDI and paper claims to ensure accurate data transmission and adjudication
- M-F: 8a-5p EST
Required Qualifications for EDI Business Analyst:
- 5+ years of experience
Preferred Qualifications for EDI Business Analyst:
- Previous healthcare experience a plus
- Advanced knowledge of healthcare EDI files (837, 277CA, 999, 270/271, 276/277, etc.)
- Advanced knowledge of ANSI X12 guidelines includes syntax, editing requirements and best practices
- Advanced computer skills in Microsoft Word, Excel, Outlook & Visio
Benefits for EDI Business Analyst:
- Immediate enrollment in Health Insurance
- Dental Insurance
- Life Insurance
- Employee Assistance Program (EAP)
- Access to Investment Accounts
- Career and educational tools within our Ingenovis ACT (Advocacy) Program
Pay Details: $48.00 an hour – $52.00 an hour
Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional consideration, please email a copy of your resume to maro.onokpise@healthcaresupport.com with your phone number, the job title and location, and our recruiters will reach out.
Healthcare Support Staffing, LLC. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.