Associate Edi Analyst - Grand Rapids, United States - Corewell Health

Corewell Health

Verified Company

Grand Rapids, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Job Summary

Not able to sponsor visa now or in the future

Not able to hire remote in New York or California

Salary range: 50k to 55k

Provides support for the EDI Operations department by interfacing with internal and external customers including business analysts, software developers, project managers, trading partners, and software vendors.

This role is responsible for managing a range of EDI transactions including enrollment, claims, financial, and eligibility transactions using ANSI X12 HIPAA compliant formats.

Provides technical support for the implementation of EDI connections with external parties; responds to inquiries related to EDI transactions; conducts analysis of EDI transactions; and provides issue resolution when necessary.

Essential Functions

Demonstrate knowledge of EDI standard formats and communicate complex data exchange concepts to internal and external parties.
Demonstrate the ability to think analytically; work independently or in a team; and handle multiple priorities.
Interface professionally with various internal and external customers including Operations, Sales, Marketing, IT, and Trading Partners to understand and process work requests.
Responsible for the implementation of electronic data interchange connections between Priority Health and external parties.
Verify and monitor EDI processes. Troubleshoot and resolve EDI related issues. Develop and maintain procedural documentation.
Support ongoing implementations in postproduction, including error identification/resolution, continuous improvement, and proactive communication with the trading partners and providers to reduce/prevent errors.
Followup comprehensively with all stakeholders during issue remediation process to assure that delays are minimized and the process runs smoothly.
Provide oncall support as necessary.

Qualifications:

Required Associate's Degree (or equivalent education and experience)
Preferred Bachelor's Degree
2 years of relevant experience Analyzing data to identify content and/or formatting issues Required
2 years of relevant experience Using SQL queries to retrieve and/or display data Required
2 years of relevant experience Reading, formatting, and translating EDI data Required
1 year of relevant experience Implementing EDI setup and mapping Preferred
1 year of relevant experience In the healthcare industry Preferred
1 year of relevant experience With Facets Software or a similar healthcare enrollment/claims management software system Preferred

Physical Demands

Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs
Waist to Waist > 5 lbs: Seldom up to 10 lbs
Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
Waist to Overhead > 5 lbs: Seldom up to 10 lbs
Bilateral Carry > 5 lbs: Seldom up to 10 lbs
Unilateral Carry > 5 lbs: Seldom up to 10 lbs
Pushing Force > 5 lbs: Seldom up to 10 lbs
Pulling Force > 5 lbs: Seldom up to 10 lbs
Sitting: Frequently
Standing: Occasionally
Walking: Occasionally

Forward Bend

Standing: Seldom

Forward Bend

Sitting: Occasionally

Trunk Rotation

Standing: Seldom

Trunk Rotation

Sitting: Occasionally

Reach

Above Shoulder: Seldom

Reach
- at Shoulder or Below: Seldom

Handling: Occasionally
Forceful Grip > 5 lbs: Seldom
Forceful Pinch > 2 lbs: Seldom
Finger/

Hand Dexterity:
Frequently

Primary Location
SITE - Priority Health E Beltline - Grand Rapids

Department Name
PH - EDI

Employment Type
Full time

Shift
Day (United States of America)

Weekly Scheduled Hours
40

Hours of Work
8 a.m. to 5 p.m.

Days Worked
Monday to Friday

Weekend Frequency
N/A

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category._
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team._