Randstad EDI Analyst in San Antonio, Texas
location:San Antonio, TX
salary:$38 - $40 per hour
date posted:Monday, April 16, 2018
job type:Temp to Perm
A client of ours in San Antonio, TX is looking for a Sr. EDI Analyst for a contract-to-hire opportunity.
Qualified candidates will have the following skills:
Bachelor's Degree in Computer Science or related field
Minimum of 4-6 years relevant work experience in managed health care is a must.
Prior experience in an EDI Analyst role in a healthcare claims adjudication system/environment is a must.
Comprehensive knowledge of HIPAA EDI 5010 X12 837, 835, 277 and 999 files, including detailed understanding of all relevant loops and file structures is a must.
Knowledge of reporting encounter claims and encounter resubmission processes is a must.
Communication and coordination skills: Ability to lead development efforts and client meetings is a must.
Ability to provide critical analysis on client needs as well as attention to details and accurately documenting processes.
Experience developing encounter transactions set maps and processes in HIPAA EDI 5010 X12 based on business needs is a must
Diagnose problems with EDI processes, working with other technical and/or business resources as necessary
Develop EDI and batch process monitoring to track levels of activity, compiling and tracking metrics
Support the development of technical EDI implementation documentation, technical reports and payer companion guides
Expertise in reporting/analysis of resubmissions of 837 encounter data.
Ability to work with multiple implementation partners (external and internal) to support submission of 837 encounter/claim data for processing and storage.
Provide assistance and training in encounter data processing with project team.
Design and execute EDI test plans. Provide timely communication amongst clients on a daily/weekly/monthly basis as well as ad-hoc.
Experience in implementation of control and reconciliation reports.
Knowledge and understanding of relational database environments.
SQL Server database (2012) knowledge is a plus.
Experience writing SQL queries in SQL Server.
Familiar with SDLC and Agile methodologies
Experience in structured, data-driven, functional logic programming
Team oriented with the ability to work effectively across functional areas of the company.
Excellent analytical, problem resolution and people skills.
Ability to deliver quality results under tight deadlines.
Ability to work independently with moderate supervision.
Working knowledge of other healthcare related EDI Transactions is a plus