EDI ANALYST-LEVEL II GHN-Online
This resource has responsibility of specific EDI functions for the company. In this role, he/she will have primary
responsibility for monitor-ing, auditing and maintaining day-to-day EDI functions with our clearinghouse operations.
Responsible for supporting processes related to inbound and outbound EDI transactions
Responsible for supporting high volume and timely turnaround of key EDI process(s) with our clearinghouse operation
Responsible for testing and production implementation needed for EDI process(s) that are new or have changed.
Responsible for interfacing with payers or payer networks for any interruptions of day-to-day processing
Responsible for researching any missing EDI transactions with payer or payer network
Education, Knowledge, Skills and Ability Requirements
Bachelor?s Degree preferred
4-5 years experience working with healthcare providers using institutional and professional claim forms.
2 or less years experience with the structure and syntax of the ANSI X12 834, 835, 837I, 837P, 270/271, 276/277 and
supporting acknowledgement/claim status transactions are critical.
2-3 years experience working with EDI, EFT, XML transaction processing, and data mapping
2 or less years experience working development teams
2 or less years experience working with telecommunication protocols-- SFTP, FTP, BBS, HTTPS
Experience in project management, business analysis, and quality assurance in an application development setting, plus
Experience with MS-SQL database centric applications in T-SQL, VB / VB.Net, C# or C/C++ in healthcare environment, a
Experience in BIZTALK 2009 environment, a plus
Essential Functions of the Job
Possess analytical skills
Professional written and oral communications skills;
Ability to work independently
Ability to be a team player
Working knowledge of all Microsoft Office applications (Excel, Word, PowerPoint, and Visio)
Possess a good work ethic
Be persistent and dependable
Be able to produce quality work
Possess good time management skills
Be detail oriented
||12655 North Central Expressway |
Dallas, TX 75243