EDI Analyst

Overview

*This role is seeking candidates who specialize in EDI analytics and ERA/EFT Enrollments, we are not seeking developers and/or designers, thank you!*

As an EDI Analyst, you will be responsible for the development, implementation and ongoing maintenance of the Electronic Data Interchange (EDI) transactions including HIPAA 270/271 eligibility inquiry and response, 276/277 claims status inquiry and response, and 278 referral/prior authorization transactions. The EDI Specialist works with claims and payment teams on the HIPAA 837 -Health Care Claim and 835-Health Care Claim Payment/Advice. The EDI Specialist will work collaboratively with information systems staff, government and third-party payers, clearinghouses, and Nextgen technical support personnel to implement these transactions in an integrated, efficient, and cost-effective manner. This position will have responsibility for planning, implementing and managing HIPPA EDI projects relatin...