EDI health care BA-Boston, MA - Georgia IT Inc.
Boston, MA
About the Job
Job Title : EDI health care BA
Location : Boston, MA
Position Type : Contract
US Citizen, Green Card and GC_EAD Preffered.No Visa sponsorship available for this Job - no third party C2C agencies.
Job Responsibilities:
Responsibility A:
Location : Boston, MA
Position Type : Contract
US Citizen, Green Card and GC_EAD Preffered.No Visa sponsorship available for this Job - no third party C2C agencies.
Job Responsibilities:
Responsibility A:
- Processes electronic claims and eligibility files and loads files into the claims processing system.
- Communicates with vendors and clients regarding day-to-day EDI transactions.
- Monitors error reports and resolves transaction errors for EDI processes.
- Monitors, reports and tracks error trends to manage resolution initiatives.
- Works in partnership with IT on testing and implementation of new files and/or file changes, as needed.
- Receives calls forwarded from Service Desk, which cannot be resolved by Service Desk.
- Communicates with users to determine the problem.
- Identifies scope of problem and impact to other users.
- Analyzes problem and researches alternative solutions.
- Determines appropriate solution and makes necessary changes.
- Escalates problem to other IT staff if necessary.
- Partners with IT to collaborate with trading partners to resolve any operational issues.
- Coordinates and tests all EDI implementations with new EDI partners.
- Analyzes current implementation in order to make recommendations for improvements.
- Assists with testing of new releases on the claims processing system and troubleshoots problems prior to loading into
- Experience in Microsoft Outlook programs.
- Ability to learn relational database functions.
- Skill in critical thinking, problem analysis, and process documentation.
- Excellent documentation, verbal and written communication and interpersonal skills.
- Excellent analytical and problem-solving abilities.
- Ability to analyze detailed information.
- Ability to follow written instructions.
- Ability to meet deadlines.
- Ability to maintain confidentiality of material and information.
- Ability to work as a member of a team and with other departments.
Source : Georgia IT Inc.