Healthcare EDI Analyst (HIPAA EDI & Edifecs Production Support) at ARK Infotech Spectrum | Torre

Healthcare EDI Analyst (HIPAA EDI & Edifecs Production Support)

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Freelance
Recurrent
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location_on
Remote (for United States residents)
Shared by
Diana Montoya
10 days ago

Responsibilities


Client is seeking an experienced Healthcare EDI / Edifecs Production Support Analyst to support HIPAA EDI transaction processing within a Health Plan environment. The ideal candidate will have strong hands-on experience with Edifecs tools, HIPAA X12 transactions, EDI production support, SQL, healthcare claims/enrollment workflows, trading partner onboarding, and HIPAA compliance.Basic Qualifications: (what are the skills required to this job with minimum years of experience on each)Minimum 5+ years of experience working in Healthcare EDI and HIPAA transaction processing within a Health Plan or Healthcare environmentMinimum 3+ years of hands-on experience with Edifecs tools such as XEngine, SpecBuilder, Transaction Management, and Smart TradingMinimum 3+ years of experience supporting HIPAA X12 transactions including 837, 835, 834, 270/271, and 276/277Minimum 2+ years of experience troubleshooting EDI production support issues and performing root cause analysisMinimum 2+ years of experience working with SQL for healthcare data analysis, validation, and issue investigationExperience with trading partner onboarding, EDI connectivity protocols such as SFTP/AS2, and compliance testing activitiesStrong understanding of healthcare claims processing, enrollment, eligibility, and encounter management workflowsExperience working with incident management and ticketing tools such as Jira or ServiceNowTravel: This position may require occasional travel based on project and business needs.Degree: Bachelor’s degree in Computer Science, Information Systems,Nice to Have:Healthcare Informatics, or equivalent work experienceExperience supporting Medicare, Medicaid, or Commercial Health Plan operationsProject lead or offshore/onshore coordination experienceKnowledge of XML, XSD, and EDI mapping conceptsExperience working in Agile development and support environments.