| Required EDI Analyst for Remote(USC,GC) at Remote, Remote, USA |
| Email: [email protected] |
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http://bit.ly/4ey8w48 https://jobs.nvoids.com/job_details.jsp?id=393368&uid= From: Arun, kpgtech [email protected] Reply to: [email protected] Hi, Please let me know if you would be interested in the position below. Role: EDI Analyst Location: Remote- if they want to go onsite, they can use the following locations Bedford MA, NYC, Naperville IL, and Rockville MD Duration: 6+ months Interview-Video Job Description ROLES AND RESPONSIBILITIES: MultiPlan's Implementations team is responsible for the electronic setup, testing and go-live of IT projects that involve Client Claims Processing. These claims may be received either via EDI (Electronic Data Interchange) or via Web Services (near real time technology). Each implementation analyst will work on multiple cross-functional projects teams and will complete setup and testing tasks related to client implementations, EDI business maintenance work and UAT projects. An implementation analyst will work closely with other departments at MultiPlan including Sales and Account Management, Project Managers, Production Support, Application Development & SQA. 1. HIPAA compliance on implementations: Provide HIPAA-compliant guidance to trading partners requesting information about MPI requirements and industry standards for EDI protocols. 2. Ensure confidentiality and privacy on all external communication. 3. Follow established processes and rules on all implementation related activities as previously documented or covered in new employee training 4. Work on standard as well as custom, non-standard projects on a daily basis including implementing clients who send proprietary format claim files 5. Participate in daily internal and client facing conference calls 6. Report on implementation status and answer technical questions on client calls 7. Bring attention to lessons learned and issues found on internal calls 8. Complete client setup on MultiPlan's multiple internal applications for an implementation 9. Conduct necessary testing and in-depth analysis on client test files 10. Communicate and resolve any potential issues prior to rolling trading partners into the production environment 11. Complete implementation monitoring after production rollout and prior to closing out a project 12. Manage the monitoring requirements of clients on a daily, weekly and monthly basis 13. Monitor, audit, and report on the processing of claims in production to confirm successful go-live 14. Proactively prioritize, communicate, and resolve any EDI process or system issues 15. Partner with other IT teams to implement enhancements and defect fixes 16. Provide clarification on implementation team or client requirements 17. Complete testing for successful sign off; Implement process improvements to enhance the efficiency of EDI processes 18. Use access to data and personal observation to identify potential process improvement opportunities. 19. Present potential solutions to management and other team members 20. Incorporate feedback and implement solutions; Report progress & measurements of success to management 21. Support Account Management and clients on claims processing report requirement 22. Perform routine and ad hoc analysis of EDI processing including but not limited to claim turnaround times, data mapping and claim flow issues 23. Write and execute queries to pull production data on claim volumes and specific scenarios 24. Prepare and maintain documentation that defines operational procedures, describes client requirements, and shares relevant analysis outcomes with internal and external stakeholders 25. Support Manager with team goals and corporate strategies as well as assist with the training and coaching of Level I staff 26. Provide coverage for other team members as needed on their vacations and support junior members * Consistently performing in MultiPlan's dynamic implementations environment 27. Understand changes in processes and adopt them on open projects quickly 28. Understand application rules and changes and ensure correct setup 29. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary REQUIRED SKILLS * Bachelor's Degree in a related discipline or the equivalent combination of work experience and technical training * 3+ years progressively responsible experience in a related technical role * Exposure to, and general understanding of, Healthcare claims processing * Clear understanding and working knowledge of General EDI concepts and terms, File transfer protocols (FTP), HIPAA EDI protocols * Strong knowledge of HIPAA EDI 5010 X12 Transactions such as 837, 997, 999, 834, 835, 277, 271. This includes ability to read, edit and work with these files. 837P and 837I knowledge is critical * Excellent verbal and written communication skills (must be clear, concise and grammatically correct) * Exceptional analytical and troubleshooting skills * Demonstrated ability to multitask and handle multiple projects and requests at once * Ability to effectively prioritize tasks and manage time in a dynamic environment to meet deadlines is required * Aptitude for self-learning and quickly assimilating new applications, processes and technologies * Experience in SQL scripts and creating queries preferred * Proficiency in MS Word, Excel and Outlook * Ability to work independently and as a member of a team JOB SCOPE: As an EDI Analyst, you must be highly organized and detail-oriented, with strong analytical, problem solving, and prioritization skills. You should also be able to handle multiple tasks in a fast-paced, deadline-driven environment, both independently and as part of a team. It is also important that you display excellent verbal and written communication and interpersonal skills, as well as the ability to effectively present information and respond to questions from groups of managers and clients Keywords: active directory information technology golang microsoft Illinois Maryland Massachusetts http://bit.ly/4ey8w48 https://jobs.nvoids.com/job_details.jsp?id=393368&uid= |
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| 02:12 PM 28-Feb-23 |