Randstad EDI Analyst in San Antonio, Texas

EDI Analyst

job details:

  • location:San Antonio, TX

  • salary:$38 - $40 per hour

  • date posted:Monday, April 16, 2018

  • job type:Temp to Perm

  • industry:Information Technology

  • reference:614772

job description

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