EDI Operations Analyst - Encounters

Elevance Health • Latham, NY

2d • Hybrid

About The Position

The EDI Operations Analyst I - Encounters functions as a provider liaison for electronic connectivity. The role assists with developing or modifying claims filing procedures by analyzing business and client needs and requirements. It provides vendor specifications to vendors and clearing houses, enrolls providers for claims and encounter submission, educates providers about EDI, and works with vendors on EDI system implementation and connectivity.

This is a hybrid role requiring associates to work in-office 1–2 days per week. Alternate locations may be considered for candidates within commuting distance of an office; candidates outside a reasonable commuting distance will not be considered unless an accommodation is granted as required by law. The position is non-management and non-exempt.

Requirements

• High school diploma or equivalent and previous experience in claims or customer service, or an equivalent combination of education and experience.

Nice To Haves

• Ability to conduct detailed claims research and research systems reports.
• Understanding of network and telecommunications methodology.
• Claims encounters experience.

Responsibilities

• Assist in developing or modifying claims filing procedures, including analyzing business and client needs and requirements.
• Provide vendor specifications to vendors and clearing houses.
• Enroll providers for claims and encounter submission.
• Educate providers regarding EDI.
• Work with vendors on EDI system implementation and connectivity.

Benefits

• Comprehensive benefits package, subject to eligibility requirements.
• Incentive and recognition programs.
• Equity stock purchase plan.
• 401(k) contribution.
• Merit increases.
• Paid holidays.
• Paid time off.
• Incentive bonus programs, unless covered by a collective bargaining agreement.
• Medical insurance.
• Dental insurance.
• Vision insurance.
• Short- and long-term disability benefits.
• 401(k) match.
• Life insurance.
• Wellness programs.
• Financial education resources.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED