EDI Analyst III
SKYGENMenomonee Falls, WI, United StatesHace 13 horas
Tipo de contrato
- Indefinido
Descripción del trabajoProcess, troubleshoot, and deliver daily EDI files and reports to clients within required timeframes. Process inbound and outbound client 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. Act as primary resource for department projects. Participate in client and state audits. Regularly attend and participate in client and internal meetings as a representative of the EDI Department. Deliver ad hoc data to internal and external customers as appropriate surrounding problems affecting client eligibility and claim processing. Work collaboratively with internal departments to secure and maintain effective relationships. Act as a subject matter expert for high priority items sent to the EDI team; answering questions to internal and external contacts and resolving matters that may fall outside of the established workflows. 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. Provide training to new and current department staff to ensure understanding. Work collaboratively with internal teams to keep them informed of potential issues and / or concerns. Required Level of Education, Licenses, and / or Certificates Required Level of Experience Experience in demonstrating informal leadership skills Required Knowledge, Skills, and Abilities Strong problem diagnosis and resolution skills. Strong verbal and written communication skills Ability to resolve complex problems. Ability to work autonomously Good problem solving and decision making abilities Conflict management skills. Ability to successfully have conversations with others regarding challenging / sensitive topics. Ability to adapt to changing priorities quickly Ability to demonstrate professional behavior Ability to work overtime as needed. Preferred Level of Education, License, and / or Certificates Preferred Level of Experience Preferred Knowledge, Skills, and Abilities
What are important things that YOU need to know about this role?
- Remote : This position offers permanent remote work.
- Required Expertise : Strong Medicare and Medicaid encounter experience, plus proficiency in SQL.
What will YOU be doing for us? Act as a main point of contact and subject matter expert for EDI file exchanges and setting up new EDI processes on behalf of clients, (including support for various assigned tasks and initiatives as directed by department leadership) OR act as main point of contact and subject matter expert for EDI encounter files exchanges, analysis and error corrections. Provide appropriate proactive communication to internal and external team members to reduce escalations overall and ensure efficient and compliant operations. Process, troubleshoot, and deliver EDI files.
What will YOU be working on every day?
What qualifications do YOU need to have to be GOOD candidate?
Bachelor's degree in Information Technology, Computer Science, or related field or equivalent years of internal experience.
Minimum of 5 years of related experience or equivalent advanced education
Strong knowledge of database application and data query protocol (MS SQL Server, Transact-SQL).
What qualifications do YOU need to have to be a GREAT candidate?
Master's degree in Information Technology or equivalent field of study.
Previous EDI experience.
Knowledge of HIPAA requirements
The salary range and midpoint is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range.
Salary Range : $90,334 - $135,501
Salary Midpoint : $112,917
Crear una alerta de empleo para esta búsqueda
Edi Analyst • Menomonee Falls, WI, United States
Ofertas relacionadas
Premier Medical Staffing Services is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in West Bend, Wisconsin.
Job Description & Requirements.Mid 12 hour mid shift wi...Mostrar másÚltima actualización: hace más de 30 días
Working at Moraine Park Technical College is much more than a job.It’s an opportunity to help influence the future of higher education.
At MPTC, we are in a unique position to impact our district co...Mostrar másÚltima actualización: hace 21 días
This position works closely with the City Engineer and the Director of Public Works in planning, designing and managing projects within a particular area of responsibility (Traffic).Schedule : Monda...Mostrar másÚltima actualización: hace más de 30 días
Sysco is Now Hiring Diesel Fleet Technicians Lvl.Hour • - Plus a $600 Annual Boot & Tool Allowance.Outstanding Benefits Package - Up To $7,500 Sign-On Bonus for New Hires.
We offer our colleagues the...Mostrar másÚltima actualización: hace 16 días
At TDS Telecom, connecting people is at the heart of everything we do.We are forward thinkers who leverage cutting-edge fiber internet technology to strengthen communities.We are dedicated to excel...Mostrar másÚltima actualización: hace más de 30 días At TDS Telecom, connecting people is at the heart of everything we do.We are forward thinkers who leverage cutting-edge fiber internet technology to strengthen communities.We are dedicated to excel...Mostrar másÚltima actualización: hace más de 30 días 
NOW HIRING : 2nd Shift Blender Join Our Fast-Paced Beverage Team!.Are you ready to mix things upliterally? Were looking for an enthusiastic, detail-oriented.
At Krier Foods, we produce the iconic.Sh...Mostrar másÚltima actualización: hace 7 días
People want to work at Capstone because of our high-performance culture.We build strong relationships, challenge the status quo, work hard to deliver results, and pay it forward in our communities....Mostrar másÚltima actualización: hace 16 días
We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...Mostrar másÚltima actualización: hace más de 30 días We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...Mostrar másÚltima actualización: hace 9 días 
Work where your ideas have impact.Allspring Global Investments is a leading independent asset management firm that offers a broad range of investment products and solutions designed to help meet cl...Mostrar másÚltima actualización: hace 14 días
They lead directors and others in the areas of design, estimating, preconstruction, project management, production / shop, and field operations.
Reporting to the president, this key role ensures the c...Mostrar másÚltima actualización: hace más de 30 días
Senior Data Engineer - why this role matters to you : .Work for Delta Defense, the private company that provides Marketing, Operations and Customer Service for the U.
The USCCA safeguards life, freedo...Mostrar másÚltima actualización: hace 20 días
CRNA Together is seeking locum CRNAs to fill a need with one of our close partners in Sheboygan, WI.CRNA Togther is a premiere nationwide recruitment firm specializing in largescale anesthesiology ...Mostrar másÚltima actualización: hace más de 30 días
Are you looking for a rewarding opportunity with flexible scheduling and a focus on work-life balance? Interested in working weekdays with no nights, no weekends, and no call? .Join one of the nati...Mostrar másÚltima actualización: hace más de 30 días Join Aurora Health as an Emergency Medicine Physician in Sheboygan, WI—part of Advocate Health, one of the largest nonprofit integrated health systems in the country.
At Advocate Health, we’re commi...Mostrar másÚltima actualización: hace más de 30 días As a key member of the Information Technology Services team, the Integration Specialist is responsible for supporting the institution’s ongoing efforts in system interoperability, digital transform...Mostrar másÚltima actualización: hace más de 30 días 
Claims Representative II - Liability .Flexible Scheduling Opportunities .Home Office, Telecommuting, and Remote Opportunities in CO, GA, IL, IN, IA, MN, TN, TX, & WI.
Protecting our policyholders dr...Mostrar másÚltima actualización: hace 1 día
- Oferta promocionada
Travel Nurse RN - ED - Emergency Department
Premier Medical Staffing ServicesWest Bend, WI, USIndefinido
- Oferta promocionada
Adjunct Faculty - AI Data Specialist Instructor
InsideHigherEdFond Du Lac, Wisconsin, United StatesA tiempo completo +1
- Oferta promocionada
Engineer III - Traffic
City of WaukeshaWaukesha, WI, United StatesA tiempo completo
- Oferta promocionada
Diesel Fleet Tech III - Earn $34 / Hour - $7.5k Sign-On Bonus + Benefits
SyscoWaldo, WI, USA tiempo completo
- Oferta promocionada
Outside Plant Construction Technician III
TDS TelecomPlymouth, WI, USA tiempo completo
- Oferta promocionada
Outside Plant Construction Technician II
TDS TelecomPlymouth, WI, USA tiempo completo
- Oferta promocionada
Copy of Blender 2nd Shift
KRIER FOODSRandom Lake, WI, USA tiempo completo
- Oferta promocionada
Auditor
Capstone Logistics, LLCJackson, WI, USA tiempo completo
- Oferta promocionada
Remote Investment Analyst – AI Trainer ($50-$60 / hour)
Data AnnotationFond du Lac, WisconsinTeletrabajo
A tiempo completo +1
- Oferta promocionada
Remote M&A Integration Manager - AI Trainer ($50-$60 / hour)
Data AnnotationFond du Lac, WisconsinTeletrabajo
A tiempo completo +1
- Oferta promocionada
Analyst - Investment Data & Operations
Allspring Global InvestmentsMilwaukee, WI, United StatesA tiempo completo
- Oferta promocionada
1st Shift - VP of Operations
Staffing Support SpecialistsJackson, WI, United StatesA tiempo completo
- Oferta promocionada
Senior Data Engineer - Remote Optional
Delta DefenseWest Bend, WI, USTeletrabajo
A tiempo completo
- Oferta promocionada
CRNA - Anesthesiology job available in Sheboygan, Wisconsin
ARK Staffing SolutionsSheboygan, WI, USA tiempo completo
- Oferta promocionada
Anesthesiology
Advocate HealthFond du Lac, USA tiempo completo
- Oferta promocionada
Emergency Medicine Physician Full Time Sheboygan, WI
Advocate HealthSheboygan, USA tiempo completo
- Oferta promocionada
Systems Integration Analyst
InsideHigherEdPewaukee, Wisconsin, United StatesIndefinido
- Oferta promocionada
Claims Rep II - Liability
Society Insurance CompanyFond du Lac, WI, USA tiempo completo