Job Details

ID #49786738
Estado Distrito de Columbia
Ciudad Washington
Tipo de trabajo Contract
Salario USD $60 - $65 60 - 65
Fuente ALTA IT Services
Showed 2023-04-25
Fecha 2023-04-21
Fecha tope 2023-06-20
Categoría Salud
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Healthcare Claims EDI 835 Data Analyst

Distrito de Columbia, Washington, 20002 Washington USA

Vacancy caducado!

EDI 837 CLAIMS DATA ANALYST ALTA IT Services has a contract to hire opening for an EDI 837 Claims Data Analyst to support a Washington DC-based health insurance customer. Work is day to day remote with quarterly meetings in the company’s Washington DC office. Candidates should be within driving distance to downtown Washington DC. Seeking detailed knowledge of 837 EDI formats including all segments and loops. Ability to manipulate 837 EDI /XML files to generate a wide variety of valid claims; and very strong experience and in-depth knowledge of the Claims Adjudication process. Seeking candidates with experience supporting Blues plans.

Responsibilities:
  • Perform initial triage and full incident life cycle monitoring in support of Bridge Tenant Plans. This position requires technical and analytical skills with a focus on incident definition, isolation, and resolution. It requires deep knowledge of EDI 837 Claims analysis, 999 errors and SQL queries.
  • Work with various members of the TOS team to provide Tier 1 technical support to tenant Bridge plans. Tier 1 support involves the initial triaging of reported incidents with the Bridge applications with a focus on data collection and prior incident pattern analysis.
  • Work closely with Bridge Plan Consultants to ensure smooth communication and prompt follow-up on logged incidents with the applications.
  • Provide some basic technical support for tenant plans, running queries, and making recommendations on changes to the tenant plans interfaces to improve the overall customer experience.
  • Create and run performance monitoring reports for end customers including SLA tracking reports.
  • Manipulation of 837 EDI /XML files to generate a wide variety of valid claims.
  • Write complex SQL queries for retrieval of required from multi-database environment. (Strong knowledge of Oracle database required).
  • Accountable for specific deliverables as defined by the Plan Consultants, and TOS leadership.
  • Document incident resolutions, escalations, and closures within the corporate Incident tracking tool.
  • Document system monitoring design, implementation, as well as SOPs for various support teams in TOS.
  • Monitor the Bridge Applications through tools like Dynatrace, Jenkins Batch process.

Skills/Requirements – Support Analyst:This position requires a BA/BS in computer science or equivalent experience, and more than 7 years professional software support experience with an emphasis on incident resolution.Specific requirements include, but not limited to:
  • Detailed knowledge of 837/835 EDI formats including all segments and loops. Ability to manipulate 837/835 EDI /XML files to generate a wide variety of valid claims.
  • Experience and In-depth knowledge of Claim Adjudication process
  • Experience with Incident management applications like SharePoint and Salesforce.
  • Experience with SQL queries.
  • Experience with Blue Plans is a plus.
  • Some exposure to Object Oriented languages a plus.
  • Excellent communication and teamwork skills.
  • Experience with Monitoring tools like Jenkins

HOURLY RATE: $60/hr. to $65/hr. range. Benefits available for W2. For consideration, please contact Melissa McNally via [email protected] ALTA IT Services is an owned subsidiary of System One, a leading provider of specialized workforce solutions and integrated services. ALTA is an established leader in IT Staffing and Services, for both government and commercial enterprises across the United States, specializing in Program & Project Management, Application Development, Cybersecurity, Data & Advanced Analytics, and Agile Transformation Services.ALTA IT Services is an equal opportunity/affirmative action employer that considers qualified applicants for employment without regard to race, gender, age, color, religion, disability, veteran status, sexual orientation, or any other factor.

Vacancy caducado!

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