EDI Analyst and Developer

EDI Analyst And Developer

Health EDI ANSI X12, XML Schema, ETL&EDI toolsets, SQL, Management Studio, Health insurance experience Expert in EDI standards and implementation Deep EDI ANSI X12 knowledge Good knowledge of web services, XML and defining schemas using DTD/XSD Perform EDI mapping and end to end test Hands on experience in SQL Server / relational databases Extensive experience integrating standard X12 transactions (834, 837, 835, 820, 270, 271, 276, 277) into internal and external systems Experience in implementing EDI/ETL processes Experience with various EDI and ETL toolsets Experience with XML, X12 EDI Standards and Transactions, etc.

Experience with health care insurance or health care vendor organizations desirable Analyze EDI and data integration/transformation requirements from business partners and develop processes to meet these requirements Ensure data integration design and implementation is in accordance with other design components and meets end-state requirements Apply business rules used to govern data transformations based on upstream and downstream data impact Perform EDI system testing and quality control checks Resolve code defects discovered during testing and implement corrective solutions Review and correct daily errors for inbound EDI transactions and retransmit outbound EDI documents Evaluate user requests for new and modified EDI applications, programs, processes, and maps Manipulate data sets as needed for testing, correction, or knowledge building Implement, maintain, and monitor EDI systems Develop data integration components including EDI, data mapping, translation and interface Review X12 files for issues including but not limited to: balancing, structure, syntactical, data type and content errors;

then develop and execute strategies to solve them. Troubleshooting activities include querying database using SQL Management Studio to review stored values and/or using a text editor to manually review data files sent by Payer clients Support Payer and Provider client implementation activities by generating 835s files, reviewing their content and then presenting findings to clients/departments Respond to inquiries regarding issues, claims, payments, and/or clearinghouse activities Work closely with other departments on communication issues related to customer and third-party vendor connectivity Communicate with vendor contacts to identify file issues and then disseminate the resolutions to the provider or payer Maintain compliance with all HIPAA and general data security standards Excellent analytical and problem solving skills.

Understanding of complex information and requirements. Ability to explain complex systems in simple terms. An ability to work to tight deadlines and within constraints. Excellent customer service skills Excellent oral and written communication skills Excellent ability to work alone and as a team member