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EDI Analyst II - St Louis - Southern Scripts
Description
EDI Analyst IIRole and Responsibilities
The EDI (electronic data interchange) Analyst II is responsible for coordinating and implementing files between the Liviniti system and outside vendors, clients, and brokers.
EDI Analysts are responsible for analyzing various specifications to work in conjunction with reports, interfaces, and mappings provided by data-trading partners.
They coordinate and work with internal teams to complete EDI testing, implementations, and modifications of EDI files.An EDI Analyst's primary responsibilities include analyzing file and system data to address and resolve any issues or errors, implementing and configuring file feeds for our existing or newly added vendors, and being the main EDI point of contact for your assigned clients.
Key responsibilities include working closely with our vendors and internal teams at all levels of the organization to establish, support, and maintain all data exchanges.
Responsible for the integration of any new vendor relationship using Electronic Data Interchange and file layouts for eligibility, accumulator, claim detail, and other files by obtaining EDI file specifications, file encryptions and transmission information from vendor.
Build and maintain relationships with Liviniti' partners and other vendors; serve as liaison to bridge gaps between system partners and internal outward-facing staff.
Document and provide scope of work to all parties involved in all stages of integration; noting customizations, routing rules, data mapping, etc.
to ensure seamless integration process on client sideHas solid technical understanding of different file types (fixed width, delimited, 834)
Computer proficiency and technical aptitude with the ability to utilize various connectivity solutions (FTP/Secure FTP, Webfolders (WebDAV), VPN), and use of MS Office applications.
Research, analyze, and understand data elements in Liviniti systems, as well as inbound and outbound vendor systemsDevelop mapping and translations between data elements for file feeds
Coordinate and test EDI feeds with external vendors and internal file developers
Maintain extensive knowledge of claims adjudication system requirements.
Assist with any and all production EDI issues.
Maintain awareness of and ensure adherence to Liviniti standards regarding privacy.
Work on assignments that are complex in nature in which judgment and initiative are required in resolving problems and making recommendations
Thorough knowledge of company and departmental policies and procedures.
Abide by all obligations under HIPAA related to Protected Health Information (PHI).
Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company.
Flexibility to understand, appreciate and embrace that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee.
Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.What We Have To Offer
Our benefits package is designed to keep our employees happy and healthy - physically, mentally and financially.
Medical, Dental and Vision Insurance
Disability and Life Insurance
Employee Assistance Program
Remote Work Options
Generous Paid-Time Off
Annual Reviews and Development Plans
Retirement Plan with Company Match Immediately 100% Vested
Required Skills and Competencies
Superior organization skills
Passionate problem solver
Fast-paced temperament
Attention to detail is unprecedented
Ability to analyze data and provide a detailed well written or oral response in a timely manner
Prioritize work responsibilities and be able to maintain a proper balance between work and life duties while working remote
Fast learner that's constantly looking to improve their knowledge, skills, and their overall job responsibilities
Supervisory Responsibility
There could be supervisory responsibilities in this role with Junior Analysts or Specialist reporting to this role.
Position Type and Expected Hours of Work
Full-time/Salaried/Exempt.
Some flexibility in hours is allowed, but the employee must be available during the "core" work hours of 8:00AM to 5:00PM CT.
We cover clients from West to East Coast, work times must be adjusted to cover meetings in all time zones.
Ability to work extended hours, weekends and holidays pursuant with industry demands.Travel
This position has minimal travel expectations.
Preferred Education and Experience
Bachelor's Degree
Familiarity with multiple file types including 834, csv, pipe-delimited, fixed-width, xlsx, etc.
Ability to read an 834 is a bonus
Familiarity with file transfer protocols, specifically sFTP
Experience with Microsoft Office, particularly Excel
Understanding of SSH and PGP keys
Experience with ticketing systems such as Zendesk
Familiarity with HIPAA compliance
Any familiarity with adjudication systems is a plus
Organization, multitasking, and project management skills
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