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United States
SKYGEN USA Hiring for Sr. EDI Analyst (Medical) at Remote Full Time
What are important things YOU need to know about this role?
- $5,000 Sign On Bonus
- Position can be fully remote
- Schedule: Flexible but must be able to work the majority of hours during core business hours (8am – 5pm CST)
- Must have ability to write scripts (Strong SQL Skills), troubleshoot, problem solve and work collaboratively with internal departments and clients
What will YOU be doing for us?
Process, troubleshoot, and deliver EDI files while setting up new EDI processes on behalf of new clients and providers.
What will YOU be working on every day?
- Process, troubleshoot, and deliver daily EDI files and reports to clients within required timeframes.
- Process inbound and outbound client encounter files including analyzing data for accuracy and preparing a summary of data for clients.
- Work collaboratively with external vendors to gather necessary information for new set up.
- Set up new EDI processes on behalf of new vendors by assessing current system capabilities, providing proper solutions, testing outcomes, and providing general communication and support as needed.
- Work collaboratively with complex and/or larger clients throughout implementations by gathering requirements, validating files, inputting edits, testing files, and ensure compliance and accuracy.
- Track inbound and outbound file stats and provide an accounting of data received/sent.
- Troubleshoot escalated file processing errors.
- Deliver ad hoc data to internal and external customers as appropriate surrounding problems affecting client eligibility and claim processing.
- Respond timely and accurately to client inquiries regarding reported data, incoming client eligibility and outgoing client claims encounter, provider and other information.
- Prepare ad hoc data extracts, reports, and analysis.
- Perform routine and ad hoc data maintenance.
- Properly communicate technical information to internal and external clients to ensure shared understanding.
- Escalate EDI issues to senior level management.
- Provide training to new and current department staff to ensure understanding.
- Provide feedback and mentoring to department staff.
- Provide feedback to manager on recommendations for additional training or coaching for department staff.
- Work collaboratively with management team to keep them informed of potential issues and/or concerns.
Additional Responsibilities:
- Utilize internal tracking system and email to respond to internal customer issues surrounding technical issues with Enterprise system, ad-hoc report requests, ad-hoc data pulls, claims resubmissions, or custom solutions outside of system supported changes.
- Provide support to internal customers by troubleshooting issues and providing advice surrounding non-Enterprise internal systems including but not limited to Image Now, web portals, etc.
What qualifications do YOU need to have to be GOOD candidate?
- Required Level of Education, Licenses, and/or Certificates
- Associate’s degree in Information Technology, Computer Science, or related field or equivalent years of experience.
- Required Level of Experience
- 3 – 5 years of related experience or equivalent advanced education
- Experience in demonstrating informal leadership skills
- Required Knowledge, Skills, and Abilities
- Strong knowledge of database application and data query protocol (MS SQL Server, Transact-SQL).
- Strong problem diagnosis and resolution skills.
- Ability to communicate effectively with others including both internal and external customers.
What qualifications do YOU need to have to be a GREAT candidate?
- Preferred Level of Education, License, and/or Certificates
- Bachelor’s degree in Information Technology or equivalent field of study.
- Preferred Level of Experience
- Previous EDI experience.
- Preferred Knowledge, Skills, and Abilities
- Knowledge of HIPAA requirements
