EDI Analyst

Location: Trenton, NJ, United States
Date Posted: 08-18-2017
  • Troubleshoot and facilitate the resolution of any identified data file transmission and transaction.
  • Establish document and maintain EDI procedures by identifying errors and taking corrective action
  • Oversee and maintain the EDI Inquiry Problem database including the evaluation of problems or issues through to resolution.
  • Conduct regular audits of EDI transactions to determine accuracy and areas for improvement and maintaining EDI maps and business rules for HIPAA validation software.
  • Monitor the daily receipts and processing of claim files from Medicare contractors along with troubleshooting and resolving data transmission or content problems.
  • Perform analysis based on claim crossover inquiries related to eligibility files and billing.
  • Interface with and lead management and technical application teams and both internal and external business partners to define project specifications, time-lines and deliverables through attendance at client meetings for ongoing and prospective projects.
  • Identify, establish and maintain business relationships with internal and external trading partners and business partners.
  • Train customers and internal employees on the data exchange processes available and the data exchange systems.
  • Must have good  Knowledge of SQL , must know how to upload data in SQL 2012
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