Healthcare EDI Analyst I: Data Flows & Clearinghouse

University of Utah Health; Salt Lake City (UT); On-site; USD 60,000 - 90,000; Full time

Job summary

University of Utah Health is seeking an EDI Analyst at level I or II to support health plans EDI setups, data exchanges, and ACH payments. This role involves validating data feeds, mapping feeds to Health Plan formats, and ensuring timely processing of EDI transactions.

Under supervision, you will maintain procedures, work with internal teams and providers, and assist with projects related to EDI operations and data accuracy in a fast-paced health care environment.

Qualifications

• Associate's degree, or equivalent experience in an IT setting.
• Proficient in Microsoft business applications.
• Experience in collecting, organizing, analyzing, and presenting data.

Responsibilities

• Performs EDI setups of clearinghouse information and ACH payments to customers following specified procedures.
• Maintains procedures as needed with appropriate updates.
• Performs setups of data exchanges between entities for health plans.
• Validates data locations from customer data feeds.
• Maps data feeds into Health Plan formats.
• Loads, monitors and tests incoming and outgoing EDI transactions in a timely manner.
• Ensures the accuracy of data, analyzes conflicting data, works with partner entities to verify and resolve data errors.
• Communicate in a professional manner with customers and team members when there are problems or changes required.
• Provides documents to providers and outside agencies as required.
• Assist with projects as required.

Skills

MS Office

Data analysis

Health insurance data

EDI ANSI X12

Customer communication

Teamwork

Essential functions

Education

Associate's degree, or equivalent experience in an IT setting.

One year of experience with Health Plan EDI processes.

Job description

University of Utah Health is seeking an EDI Analyst at level I or II to support health plans EDI setups, data exchanges, and ACH payments. This role involves validating data feeds, mapping feeds to Health Plan formats, and ensuring timely processing of EDI transactions.

Under supervision, you will maintain procedures, work with internal teams and providers, and assist with projects related to EDI operations and data accuracy in a fast-paced health care environment.