EDI Analyst

Greetings from Smart Work IT Services,

Role: HIPAA EDI Specialist

Location: Remote

In this customer facing position the EDI Analyst will work with EDI transaction sets for claims, eligibility, and ERAs involving technical inquiries, updates, and resolutions.

Duties and Responsibilities:

• Initiate correspondence between clients and trading partners.
• Proficient in HIPAA EDI 5010 and 4010 transaction code sets (834, 270/271, 277, 837P, 837I, 999, 835).
• Familiarity with Health Care CORE Operating Rules.
• Obtain EDI specifications from trading partners and clients.
• Setup communications for EDI transmissions FTP setups.
• Knowledge of different FTP protocols (SFTP, TLS).
• Must have expertise in writing SQL queries using SQL server 2016 and above.
• Mapping documents into various formats including but not limited to HL7, and flat file layouts utilizing ODBC connectivity.
• Skillfully implement customers from the initial stage into live production.
• Build relationships between our clients and trading partners.
• Provide on-going training, technical and customer service support.
• Effectively builds on current support and services.

Skills and Core Competencies:

• Illustrate an outgoing personality and demonstrate personal confidence.
• Excellent verbal and written communication skills.
• Drives creative and effective problem solving and decision making to an appropriate resolution.
• Proactively shares knowledge/information with team members.
• Excellent interpersonal skills in one-on-one situations and groups with all levels of both the internal and customer

organizations.

• Must be able to multitask, balancing workload to meet goals in the time allotted.
• Learning focus: the desire to learn and improve current skills and abilities.

Desired Skills & Experience

Minimum of 4 years of EDI implementations and mapping or equivalent technical experience

• Clear understanding and working knowledge of HIPAA EDI protocols.
• Advanced knowledge of EDI is preferred.
• Preferred understanding of serviced industries primary processes and requirements.
• Complete knowledge of ANSI X12 EDI Standards is preferred.
• Programming experiences a plus.
• Experience with REDIX X12 validator tool is a plus