Senior EDI Analyst

Company Description

TechBiz Software is an IT consulting company specializing in Logistics, Healthcare, Banking, Financial, and Insurance services. Founded in 2014, we focus on custom software development, professional services, and helping clients navigate technological advancements and regulatory requirements.

This is a fully remote role (India) with flexible hours with global Health insurance giant.

What you’ll do:

·     Provides analysis, support and guidance to both internal and external clients on electronic data transfers pertaining to inbound claims processing and outbound encounter submissions, health care Eligibility.

·     Conducts data analysis, needs assessment, and cost/benefit determination to align EDI strategies with the goals of the organization

·     Collaborates with business partners to identify and translate business requirements into functional systems requirements

The opportunity:

·     Join a global team critical to operations with extremely high visibility.

·     Create and develop systems and documents that promote efficient and high-quality processes, enabling effective communication within the organization and with clients

Minimum qualifications:

·     Bachelor’s degree or equivalent and relevant information technology training from an accredited institution

·     Advanced knowledge of data interpretation and data analysis tools

·     Knowledge of health plan operations around membership, claims, and encounter data processing

·     6+ years of experience with HIPAA transaction standards and encounter data landscape, specifically 834 (Eligibility), 837P, 837I, 837D, 277,999, and TA1

·     EDIFECS mapping and testing experience is required.

·     proficiency with SQL is must.