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EDI health care BA-Boston, MA
Ref No.: 18-03151
Location: Boston, Massachusetts
Job Title : EDI health care BA
Location : Boston, MA
Position Type : Contract

US Citizen, Green Card and GC_EAD Preffered.No Visa sponsorship available for this Job - no third party C2C agencies.

Job Responsibilities:
Responsibility A:
  • Processes electronic claims and eligibility files and loads files into the claims processing system.
  • Communicates with vendors and clients regarding day-to-day EDI transactions.
  • Monitors error reports and resolves transaction errors for EDI processes.
  • Monitors, reports and tracks error trends to manage resolution initiatives.
  • Works in partnership with IT on testing and implementation of new files and/or file changes, as needed.
Responsibility B:
  • Receives calls forwarded from Service Desk, which cannot be resolved by Service Desk.
  • Communicates with users to determine the problem.
  • Identifies scope of problem and impact to other users.
  • Analyzes problem and researches alternative solutions.
  • Determines appropriate solution and makes necessary changes.
  • Escalates problem to other IT staff if necessary.
Responsibility C:
  • Partners with IT to collaborate with trading partners to resolve any operational issues.
  • Coordinates and tests all EDI implementations with new EDI partners.
  • Analyzes current implementation in order to make recommendations for improvements.
  • Assists with testing of new releases on the claims processing system and troubleshoots problems prior to loading into
Skills:
  • Experience in Microsoft Outlook programs.
  • Ability to learn relational database functions.
  • Skill in critical thinking, problem analysis, and process documentation.
  • Excellent documentation, verbal and written communication and interpersonal skills.
  • Excellent analytical and problem-solving abilities.
  • Ability to analyze detailed information.
  • Ability to follow written instructions.
Knowledge and Skills
  • Ability to meet deadlines.
  • Ability to maintain confidentiality of material and information.
  • Ability to work as a member of a team and with other departments.