Hybrid EDI Operations Analyst I – Claims & Encounters

Elevance Health, Inc.; Boght Corners (NY); Híbrido; USD 32.000 - 53.000; Jornada completa

Descripción de la vacante

Elevance Health, Inc. is seeking an EDI Operations Analyst I - Encounters to serve as the provider liaison for all electronic connectivity. The role focuses on supporting claims filing procedures and ensuring accurate encounter submissions.

The position is hybrid, with in-office 1-2 days per week, and requires the ability to work with vendors, providers, and internal teams to optimize EDI processes and reliability.

Formación

• HS diploma or equivalent; any experience in claims or customer service will be considered.
• Combination of education and experience will be considered.
• Preferred: claims encounters experience.

Responsabilidades

• Assist in development or modification of claims filing procedures and analyze business needs.
• Provide vendor specifications to vendors and clearing houses.
• Enroll providers for claims and encounter submission.
• Educate providers regarding EDI.
• Coordinate with vendors regarding EDI connectivity.

Conocimientos

Claims research

Systems reporting

Network basics

Customer service

Educación

HS diploma

Descripción del empleo

Elevance Health, Inc. is seeking an EDI Operations Analyst I - Encounters to serve as the provider liaison for all electronic connectivity. The role focuses on supporting claims filing procedures and ensuring accurate encounter submissions.

The position is hybrid, with in-office 1-2 days per week, and requires the ability to work with vendors, providers, and internal teams to optimize EDI processes and reliability.