EDI Reconciliation Data Analyst

Integrated Home Care Services, Inc.•Miramar, FL

About The Position

Integrated Home Care Services (IHCS) is seeking a highly motivated, detail-oriented EDI X12 Claims and Enrollment Reconciliation Data Analyst. The role ensures the accuracy and integrity of EDI X12 transactions related to claims and enrollment processes. The ideal candidate has strong analytical skills, comprehensive knowledge of healthcare claims and enrollment workflows, and expertise in EDI standards. Essential competencies include production support, business analysis, and project management.

Requirements

  • Five years of healthcare-related EDI transaction experience, including recent in-depth knowledge and experience with 5010 837 incoming claims and outgoing encounters, 834, 835, 270/271, and 999/277CA acknowledgement transactions.
  • Two to three years of client-facing experience and engagement with external customers.
  • Experienced knowledge of SQL queries.
  • Ability to analyze business systems, networking configurations, and data storage facilities.
  • Ability to build customized data interchange systems for cross-company or departmental use.
  • Knowledge of system testing and debugging.
  • Ability to gather user feedback, deploy completed systems, and provide maintenance support.
  • Experience training end users on proper system use.
  • Resourcefulness and problem-solving aptitude.
  • Ability to multitask in a fast-paced environment.
  • Strong written and verbal communication skills.

Responsibilities

  • Ensure the accuracy and integrity of EDI X12 transactions related to claims and enrollment processes.
  • Analyze business systems, networking configurations, and data storage facilities.
  • Build customized data interchange systems for cross-company or departmental use.
  • Test and debug systems.
  • Gather user feedback on system accuracy, efficiency, and functionality.
  • Deploy completed systems and provide maintenance support.
  • Train end users on proper system use.

Benefits

  • Medical, vision, and dental insurance.
  • Short- and long-term insurance.
  • Six or more days of holiday pay.
  • 17 days of paid time off.
  • Employer-paid life insurance.
  • 401(k) with employer contribution.
  • Wellness program with reward incentives.
  • Employee recognition and reward programs.
  • Comprehensive paid training program.
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