EDI Analyst

Curative HR LLC
Austin, TX Full Time
POSTED ON 7/21/2024 CLOSED ON 8/1/2024

What are the responsibilities and job description for the EDI Analyst position at Curative HR LLC?

Curative is seeking an EDI analyst to optimize our Health Care data exchange operations.  This person will use their knowledge of EDI and health care operations to ensure our members get onboarded faster, receive access to care in a timely fashion, and providers are paid quickly.

Our team is remote, and we’re dedicated to creating an ambitious and diverse organization to represent and support the patients we serve.

Finally it's important to us that everyone on our team be prepared to work with and supportive of a variety of backgrounds, roles, and needs. Our organization is built on trust and mutual respect, we know that it's only together that we achieve truly great things.

 

Responsibilities

  • Work with our customers and trading partners to set up automated Health Insurance enrollment processes, both through 834 and proprietary formats

  • Coordinate with trading partners to setup 835 exchanges

  • Troubleshoot EDI-related issues

  • Provide support and guidance to customers, internal users, and trading partners on EDI-related issues

  • Quality assurance and testing of EDI and other data exchange workflows

  • Work with SQL and other data tools to help the Claims Engineering team automate manual processes.

  • Performs additional duties as assigned

 

Requires Experience

  • Bachelor’s Degree or equivalent experience

  • Minimum of 2 years of experience with Health Care EDI transactions

  • Experience setting up 834 integrations end to end

  • Strong analytical and problem solving skills

  • Proficiency in SQL and data tools

  • Excellent communication skills

  • Knowledge of Claims Processing, Authorizations, and Eligibility

 

Preferred but not required

  • Understanding of SFTP and other transmission protocols

  • Experience using Automate or other data automation tools

  • Familiarity with Health Rules Payer, Guiding Care, and/or Axiom

  • proficiency with a programming language like Java, Python, or C#



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