EDI Analyst

job summary:

We are looking for an EDI Technical Support Specialist to provide helpdesk support. EDI experience is required. Provide ongoing frontline help desk telephone support to the EDI batch/real-time trading partner and secure web portal user

community by investigating user needs and problems, discovering source of issues, and assuring optimal solutions are

achieved.

Educate and answer helpdesk telephone inquiries on relevant procedures and protocols related to electronic claim, eligibility,

claim status, authorization and remittance batch and real-time processes..

Serve as the first level of resolution to document/track stakeholder electronic transaction and connectivity issues, research

complex application failures using diverse resources, determine severity and escalation levels, establish mitigation risk and

report findings to management and business needs to Information Technology

Train Blue e users on web portal functionality and administrators on access security protocols

Provide input and assist with revisions to provider materials.

Ensure the inquiry tracking database has up-to-date and complete documentation of service requests, statuses, and

resolutions.

Proactively monitor multiple EDI Production systems using available reports and dashboards to review compliance, error rates

and maintain claim balancing.

Ensure compliance with state, federal, HIPAA and BCBSA regulations governing stakeholders and suggest implementation of

process modifications when necessary.

Hiring Requirements

- Bachelor's degree or advanced degree (where required)

- 3+ years of experience in related field.

- In lieu of degree, 5+ years of experience in related field.

location: Telecommute
job type: Contract
salary: $35 - 38 per hour
work hours: 9am to 5pm
education: Associates
responsibilities:

Provide ongoing frontline help desk telephone support to the EDI batch/real-time trading partner and secure web portal user community by investigating user needs and problems, discovering source of issues, and assuring optimal solutions are achieved. Educate and answer helpdesk telephone inquiries on relevant procedures and protocols related to electronic claim, eligibility, claim status, authorization and remittance batch and real-time processes.. Serve as the first level of resolution to document/track stakeholder electronic transaction and connectivity issues, research complex application failures using diverse resources, determine severity and escalation levels, establish mitigation risk and report findings to management and business needs to Information Technology Train Blue e users on web portal functionality and administrators on access security protocols Provide input and assist with revisions to provider materials. Ensure the inquiry tracking database has up-to-date and complete documentation of service requests, statuses, and resolutions. Proactively monitor multiple EDI Production systems using available reports and dashboards to review compliance, error rates and maintain claim balancing. Ensure compliance with state, federal, HIPAA and BCBSA regulations governing stakeholders and suggest implementation of process modifications when necessary. Hiring Requirements - Bachelor's degree or advanced degree (where required) - 3+ years of experience in related field. - In lieu of degree, 5+ years of experience in related field.

qualifications:

Must have 3 years of experience with EDI Helpdesk Support experience.

skills:

database,Information Technology,secure web,web portal,Proactively,business needs,dashboards,HIPAA regulations,help desk,helpdesk,remittance,Production systems,Ensure compliance,investigating,risk

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad Digital, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad Digital offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.