EDI Operations Analyst I - Claims & Encounters Liaison Hybrid

Elevance Health, Inc.; Latham (NY); Hybrid; USD 32,000 - 53,000; Full time

Job summary

Elevance Health, Inc. is seeking an EDI Operations Analyst I - Encounters in New York area. This hybrid role requires in-office 1-2 days per week and is open to alternate locations within commuting distance.

The position involves serving as a liaison for electronic connectivity, enrolling providers, educating on EDI, and coordinating with vendors on connectivity for the EDI system. A HS diploma or equivalent with claims or customer service experience is required.

Qualifications

• Requires HS diploma or equivalent with claims or customer service experience.
• Experience in claims or customer service preferred or equivalent background.
• Familiarity with EDI systems is beneficial.

Responsibilities

• Assist in developing or modifying claims filing procedures.
• Provide vendor specifications to vendors and clearing houses.
• Enroll providers for claims and encounter submission.
• Educate providers regarding EDI.
• Collaborate with vendors on EDI system connectivity.

Skills

Claims encounters experience

EDI knowledge

Vendor coordination

Education

HS diploma or equivalent

Job description

Elevance Health, Inc. is seeking an EDI Operations Analyst I - Encounters in New York area. This hybrid role requires in-office 1-2 days per week and is open to alternate locations within commuting distance.

The position involves serving as a liaison for electronic connectivity, enrolling providers, educating on EDI, and coordinating with vendors on connectivity for the EDI system. A HS diploma or equivalent with claims or customer service experience is required.