EDI Analyst

Zotec Partners

1d•Remote

About The Position

At Zotec Partners, our People make it happen. Transforming the healthcare industry isn’t easy. But when you build a team like the one we have, that goal can become a reality. Our accomplishments can’t happen without our extraordinary people – the men and women across the country who make up our diverse Zotec family and help make this company a best place to work. Over 25 years ago, we started Zotec with a clear vision, to partner with physicians to simplify the business of healthcare. Today we are more than 900 employees strong and we continue to use our incredible talent and energy to bring that vision to life. We are a team of Innovators, Collaborators and Doers. We're seeking an EDI Analyst to join us. This is a remote position. As an EDI Analyst, you will be responsible for directly supporting the EDI needs of the medical billing/clearinghouse business. This position requires the coordination across internal and external partners, including clients. You will capture and document business and functional requirements, perform analysis and demonstrate effective communication.

Requirements

Knowledge of HIPAA/EDI X12 v5010 healthcare-related file formats including the 837, 835, 276, 277, 270, 271, 999, and TA1 is required
Knowledge of commonly used EDI concepts, best practices, and procedures within the health care industry
Experience working with .NET Technologies such as C#.NET 3.5, ASP.NET 3.5, LINQ and SQL
Microsoft Visual Studio experience
Experience using design patterns
Working knowledge of XML
Experience in healthcare business processes, claims and enrollment
Knowledge of industry standard health data code sets such as ICD-10, CPT/HCPCS, and Revenue Codes
Proficient with Microsoft Office software including Outlook, Word, Excel, and Access
Strong analytical, problem solving, organizational and priority management skills
Strong verbal and written communication skills, both technical and non-technical
Ability to work independently, be self-motivated and have the willingness and ability to lead small initiatives and projects
Must be able to multi-task, be flexible and embrace change

Responsibilities

Monitor business processes to ensure service level agreements are met
Define business requirements and acceptance criteria/test cases that support EDI Interfaces related to healthcare business platform including but not limited to 837, 834, 820, 835, 999, 275, 277, 270 EDI transactions
Interact with new and current trading partners to capture and analyze requirements, mapping specifications and project objectives
Perform business analysis of identified process and software gaps or inefficiencies and develop plans to fill those gaps for internal business processes and for external clients
Mapping documents to and from various formats including but not limited to ANSI X12, XML, and flat file layouts
Investigate EDI transactions
Investigate image issues related to PDF, .tif, and .text files
Respond with appropriate urgency when process variations are discovered
Communicate with outside agencies, carriers or facilities as research requires to gather information to resolve issues
Work with banks and collection agencies to set up file formats to load into our system
Troubleshoot to ensure different file formats load into Zotec system
Act as an ambassador for Zotec’s Mission, initiatives and goals