EDI Healthcare Analyst
About This Gig
Role Overview We are looking for experienced EDI Healthcare Analysts with strong expertise in encounter data processing, EDI submission, reconciliation testing, and member enrollment workflows for a healthcare payer. What You Will Do The main day-to-day responsibilities include encounter data processing, EDI submission, and reconciliation testing for a healthcare payer, as well as member enrollment workflows. Why It Might Be a Fit This role requires strong technical and domain expertise in EDI, healthcare payer domain knowledge, and experience with Edifecs or equivalent EDI validation tooling. Requirements Experience in encounter data processing, EDI submission, and reconciliation testing for a healthcare payer X12 EDI knowledge: 837P, 837I, 837D (Professional, Institutional, Dental) Facets — REQUIRED: claims module familiarity (encounters are derived from Facets claims data); Facets-to-encounter data validation SQL for encounter data validation (claim header, detail, member eligibili
Skills & Tags
About the Seller
Xlysi
on Himalayas