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EDI Analyst

Company: The Judge Group, Inc.
Location: Fullerton
Posted on: February 21, 2021

Job Description:

Location: Fullerton, CA Description: Our client is currently seeking a EDI Analyst in Anaheim, CA**For immediate consideration please contact Lauren at **This job will have the following responsibilities:

  • Serve as a principal liaison between clients, vendors, and payers Analyze customer requests for EDI file set-up, including but not limited to, suitability of billing type, plan design, and EDI benefit administration platform. Clearly and timely communicate required EDI information to customers and benefit administration vendors. Proactively monitor and analyze production EDI files for quality, accuracy, adherence to eligibility/plan design (guaranteed issue amounts), and mapping issues. Maintain EDI status tracking and management reporting. Serve as the primary point of contact to customers and benefit administration vendors on all EDI interactions. Serve as a subject matter expert and resource for internal operations for EDI workflow, process and procedures. Assists in identifying opportunities within the EDI process for service delivery, operational efficiencies and effectiveness. Familiar with healthcare datasets, including but not limited to membership, claims, referrals, etc. Familiar with the X12 file format. Contact: This job and many more are available through The Judge Group. Find us on the web at - provided by Dice

Keywords: The Judge Group, Inc., Fullerton , EDI Analyst, Professions , Fullerton, California

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