EDI Specialist - Macon, United States - 315health

Description

Hive, LLC is seeking an experienced EDI Specialist to join our team.

As an EDI Specialist, you will be responsible for managing electronic data interchange (EDI) processes, ensuring the accurate and efficient exchange of data between our company and external partners.

You will work closely with various stakeholders, including healthcare providers, insurance companies, and vendors, to troubleshoot and resolve EDI-related issues, while also implementing and maintaining EDI standards and protocols.

The ideal candidate will have a strong background in healthcare EDI transactions and possess excellent analytical and problem-solving skills.
Responsibilities
Maintain EDI X12 transaction sets, including 837, 835, and 270/271
Set up and manage EDI partner connections and trading relationships
Monitor EDI transactions, ensuring data accuracy and integrity
Investigate and resolve EDI errors and exceptions
Collaborate with stakeholders to address EDI-related issues and provide timely resolution
Maintain knowledge of industry standards and best practices in EDI
Participate in the testing and implementation of new EDI processes and enhancements
Provide training and support to internal teams on EDI processes and procedures
Set up and maintain payer fee tables
Bachelor's degree in computer science, information systems, or related field
Minimum of 3 years of experience in EDI implementation and support in healthcare or related field
Strong knowledge of healthcare EDI standards, including X12 and HIPAA regulations
Experience with EDI mapping and translation tools
Proficiency in SQL and data querying preferred
Excellent analytical and problem-solving skills
Strong attention to detail and accuracy
Ability to work independently and collaboratively in a team environment
Ability to manage projects simultaneously and achieve goals
Collaborative work environment
Health Care Plan (Medical, Dental, & Vision)
Retirement Plan (401k)
Life Insurance (Basic, Voluntary, & AD&D)
Paid Time Off (Vacation, Sick, & Public Holidays)
Full time
Salaried $50-$55k

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