Hybrid EDI Operations Analyst I — Claims & Connectivity

Elevance Health, Inc.; Norfolk (VA); Híbrido; USD 32.000 - 53.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Benefits package

401(k) plan

Stock purchase plan

Wellness programs

Descripción de la vacante

Elevance Health, Inc. is seeking an EDI Operations Analyst I – Encounters to serve as the liaison for all electronic connectivity with providers and payers. The hybrid role requires in-office presence 1–2 days per week, with flexibility for alternate locations within commuting distance.

The position focuses on claims filing procedures, vendor specifications, provider enrollment for encounters, and EDI education, coordinating with vendors on connectivity and implementation.

Formación

• Requires a HS diploma or equivalent and any previous experience in claims or customer service; or any combination of education and experience, which would provide an equivalent background.

Responsabilidades

• 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.

Conocimientos

Claims analysis

EDI knowledge

Educación

High school diploma

Herramientas

EDI system

Descripción del empleo

Elevance Health, Inc. is seeking an EDI Operations Analyst I – Encounters to serve as the liaison for all electronic connectivity with providers and payers. The hybrid role requires in-office presence 1–2 days per week, with flexibility for alternate locations within commuting distance.

The position focuses on claims filing procedures, vendor specifications, provider enrollment for encounters, and EDI education, coordinating with vendors on connectivity and implementation.