EDI Operations Analyst

CEI; New Jersey; Remote; USD 68,880 - 82,656; Full time

Benefits offered by this job

Medical insurance

Vision insurance

401(k)

Disability insurance

Job summary

A leading technology partner is seeking an EDI Operations Analyst for a remote position supporting healthcare claims. The role requires extensive EDI experience and includes responsibilities such as troubleshooting file issues and engaging in user acceptance testing. The ideal candidate will have at least 6 years of experience in EDI and proven presentation skills. Competitive compensation is offered via a contract arrangement.

Qualifications

• 6+ years EDI experience to include 5+ years of healthcare.
• Technical solution guidance & design for user acceptance testing.
• Ability to create and lead presentations to stakeholders.

Responsibilities

• Support healthcare claim lifecycle solutions.
• Review X12 files for issues and develop strategies to solve them.
• Troubleshoot database queries using SQL Management Studio.

Skills

EDI experience

Technical solution guidance

User acceptance testing

Advanced test editors

Provider billing and/or claims payment

Job description

This range is provided by CEI. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$55.00/hr - $60.00/hr

EDI Operations Analyst

Morristown, NJ (fully remote)

6 month contract w/ right to hire

$50-$60/hour W2

CEI is looking for an EDI Analyst to join our national healthcare client’s team! In this role, you’ll support a critical project focused on providing superior healthcare claim lifecycle solutions to payors, providers, and individuals from pre-payment through payment.

Use advanced test editors and other technology tools to review X12 for issues, to include but not limited to the following:

• Balance, structure, syntactical, data type and content errors; to develop and execute strategies to solve them.
• Work with 837s, 835s, 834s, 270, 271, etc
• Troubleshoot by querying the database using SQL Management Studio to review stored values and/or using a text editor to manually review data files sent to our client by our Payer clients.
• Support Payer and Provider client implementation activities by generating 835 files, reviewing content and then presenting findings.
• Respond to inquiries regarding 835/837 issues, claims, payments, and/or clearinghouse activities.
• Interacting with other departments on communication issues related to customer and third-party vendor connectivity.
• User acceptance testing to approve items for release.
• Communicate with vendor contacts to identify file issues and disseminate the resolution to the provider or payer to maintain compliance with all HIPAA and our client's data security standards.
• Support multiple client projects simultaneously.
• Ensure proper follow up and completion of projects.
• Work under pressure with multiple deadlines.
• Work on assignments that are complex in nature in which judgment, critical thinking and initiative are required to accomplish the objectives of the assignment.

REQUIRED EXPERIENCE:

• 6+ years EDI experience to include 5+ years of healthcare
• Technical solution guidance & design – user acceptance testing
• Create, lead and facilitate presentations to Operations team, and internal & external stakeholders & clients

PREFERRED EXPERIENCE:

• Advanced test editors or other technology tools
• Provider billing and/or claims payment experience helpful

As a trusted technology partner, CEI delivers solutions that help our customers transform their business and achieve meaningful results. From strategy and custom application development through application management our technology and digital experience services are tailored to meet each unique need of our customers. Our staffing solutions bring specialized skills to complement our customers' workforce and project requirements.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Contract

Job function

• Job function

  Information Technology

• Industries

  IT Services and IT Consulting and Hospitals and Health Care

Referrals increase your chances of interviewing at CEI by 2x

Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

Disability insurance

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