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Senior EDI Analyst - Health Care, 834 Eligibility

Senior EDI Analyst - Health Care, 834 Eligibility

TechBiz SoftwareTirupati, IN
1 day ago
Job description

Company Description

TechBiz Software is Software Product Development company specializing in Logistics, Healthcare, Banking, Financial domain. Founded in 2014, we focus on Product Development & engineering and helping clients navigate technological advancements and regulatory requirements.

This is a fully remote role (India) with flexible hours with global Health insurance giant.

What you’ll do :

  • Provides analysis, support and guidance to both internal and external clients on electronic data transfers pertaining to inbound claims processing and outbound encounter submissions, health care Eligibility.
  • Conducts data analysis, needs assessment, and cost / benefit determination to align EDI strategies with the goals of the organization
  • Collaborates with business partners to identify and translate business requirements into functional systems requirements

The opportunity :

  • Join a global team critical to operations with extremely high visibility.
  • Create and develop systems and documents that promote efficient and high-quality processes, enabling effective communication within the organization and with clients
  • Minimum qualifications :

  • Bachelor’s degree or equivalent and relevant information technology training from an accredited institution
  • Advanced knowledge of data interpretation and data analysis tools
  • Knowledge of health plan operations around membership, claims, and encounter data processing
  • 3+ years of experience with HIPAA transaction standards and encounter data landscape, specifically 834 (Eligibility).
  • EDIFECS mapping and testing experience is required.
  • proficiency with SQL is must.
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