Healthcare EDI Analyst

Job Summary

A company is looking for a Healthcare EDI Analyst (Remote).

Key Responsibilities

• Monitor, troubleshoot, and maintain EDI transactions
• Collaborate with IT and external vendors to resolve EDI transmission issues
• Assist in the design and management of insurance coverage verification technology

Required Qualifications

• Bachelor's degree in Computer Sciences, Healthcare Administration, Information Systems, Business, or related field
• 3+ years' experience in healthcare EDI operations with an emphasis on eligibility and insurance discovery
• 3+ years' experience with HIPAA data and associated transaction sets and payer requirements
• 2+ years' experience with clearinghouses, payer EDI, and healthcare management systems
• 3+ years' experience with EDI formats and standards (X12, HL7)