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  1. Go to Settings.
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Jobs or company...

EDI Specialist

Salary undisclosed

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Dice
Original
Simplified

Immediate need for a talented EDI Specialist . This is a 04+months contract opportunity with long-term potential and is located in Philadelphia, PA (Hybrid). Please review the job description below and contact me ASAP if you are interested.

Job ID:24-47090

Pay Range: $30 - $33/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

  • Requires an extensive knowledge of EDI Portal and managing inbound EDI enrollment file activity.
  • Responsible for ensuring successful transfer of inbound EDI enrollment data to include troubleshooting/reconciliation of data integrity issues.
  • Responsible for managing EDI file activity for high-profile/complex EDI client business (BPO, Shared Services, non-standard, etc.).
  • Direct contact between EDI senders, clients, Account Management teams, Customer Experience teams, BizTalk/.Net teams, and project teams.
  • Responsible for supporting project work within the business area (lead and/or participate in project meetings, sprint work, business requirement documentation, system upgrades, and business check-outs).
  • Responsible for managing all robotic process automation (RPA) work for the business area.
  • Responsible for providing support to the Department s Business Systems Analyst with client specific EDI enrollment testing.

Key Requirements and Technology Experience:

  • key Skills: EDI (Electronic Data Interchange)
  • ANSI 834
  • HIPAA X12
  • Ability to work with multiple business systems and have a general understanding of system design.
  • Knowledgeable of Microsoft office products and project management tools.
  • Effective oral and written communications skills necessary.
  • Must have a general understanding the business environment and associated systems.
  • Must be detail oriented and have a general understanding of corporate business systems.
  • Must be able to work independently with assigned task.
  • Ability to investigate, perform preliminary testing and present findings.
  • Technical writing skills needed.
  • Must have related enrollment experience in the Health Rules system platform, a full understanding of the Front Office System and how these platforms interact with EDI Portal for EDI enrollment validation.
  • Bachelor's degree in Business Administration, Management Information Systems, Computer Science or equivalent work experience in the Healthcare/Technology space
  • Understanding of XML/ANSI 834 / HIPAA X12 transactions would be beneficial.
  • In lieu of degree, minimum 2- 3 years proven EDI/eligibility experience
  • Strong communication and analytical skills required.

Our client is a leading Health Insurance Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy .

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
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