Hybrid EDI Operations Analyst (Encounters)

The Elevance Health Companies, Inc.; Boght Corners (NY); Hybrid; USD 32,000 - 53,000; Full time

Job summary

Elevance Health is seeking an EDI Operations Analyst I - Encounters. This hybrid role requires in-office presence 1-2 days weekly to foster collaboration while providing flexibility for productivity.

The position focuses on healthcare EDI, provider liaison duties for claims and encounters, and collaboration with vendors to ensure connectivity. Responsibilities include developing or modifying claims filing procedures, delivering vendor specifications, enrolling providers for claims/encounters,

Qualifications

• HS diploma or equivalent and any previous experience in claims or customer service.
• Ability to conduct detailed research of claims, systems reports, understanding of network and telecommunications methodology preferred.
• Claims encounters experience strongly preferred.

Responsibilities

• Assists in the development or modification of claims filing procedures, which includes the analysis of business and clients' needs and requirements.
• Provides vendor specifications to vendors and clearing houses.
• Responsible for enrolling providers for claims and encounter submission.
• Educates providers regarding EDI.
• Works with vendors regarding the implementation or connectivity related to EDI system.

Skills

Claims processing

Customer service

Research

Encounters experience

Education

HS diploma or equivalent

Job description

Elevance Health is seeking an EDI Operations Analyst I - Encounters. This hybrid role requires in-office presence 1-2 days weekly to foster collaboration while providing flexibility for productivity.

The position focuses on healthcare EDI, provider liaison duties for claims and encounters, and collaboration with vendors to ensure connectivity. Responsibilities include developing or modifying claims filing procedures, delivering vendor specifications, enrolling providers for claims/encounters,