
Healthcare Data Exchange Specialist
Há 17 horas
As a skilled EDI Analyst, you will play a vital role in managing and supporting the electronic exchange of healthcare information. This includes establishing connectivity to exchange transactions, monitoring and troubleshooting EDI transactions, ensuring compliance with regulatory requirements, and collaborating with internal teams and external partners.
Main Responsibilities- Monitor and troubleshoot EDI transactions to resolve errors promptly.
- Maintain and grow direct connections with product and technology teams.
- Collaborate with internal teams and external partners on EDI issues.
- Ensure EDI transactions comply with regulatory standards.
- Communicate EDI connectivity issues with stakeholders.
- Strong knowledge of transaction sets (270/271, 276/277, 278, 837, 835) and patient estimation processes.
- Develop and maintain EDI documentation, including companion guides, smart checklists, payer lists, and internal process documentation.
- Host external working sessions with trading partners, vendors, and clients.
- Provide training and support to internal teams on EDI processes and best practices.
- 2+ years' experience as an EDI analyst, business analyst, implementation specialist, or client/payer-side experience in healthcare revenue cycle management software and technology.
- Knowledge of EDI protocols and standards, specifically 27x and 83x healthcare transactions.
- Proficiency in EDI standards (X12, EDIFACT, HL7), EDI mapping tools, and related software applications.
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