EDI Data Analyst

4 weeks ago

Missoula, Montana, United States PALCO Inc Full time
EDI Analyst Job Description

At Palco Inc, we are seeking an experienced EDI Analyst to join our team. As an EDI Analyst, you will be responsible for designing and implementing EDI data flow between Palco, partner, and customer applications. You will also ensure robust billing and payroll systems processing.

Key Responsibilities:

Strong understanding of how data moves between systems, including integration points, workflows, and data transformation.

Experience with billing transactions and X12 EDI files, including but not limited to 837 (claims), 276/277 (claims status inquiry/response), 824 (application reporting), and 270/271 (eligibility files).

In-depth knowledge of healthcare industry rules, including compliance with HIPAA and other relevant regulations.

Familiarity and configuration experience with accounting information systems and general accounting functions, such as accounts payable, receivable, and payroll processing.

Ability to analyze, interpret, and present data to support decision-making across multiple teams.

Strong ability to troubleshoot and resolve data discrepancies and system integration issues.

Ability to work closely with technical, billing, and accounting teams to ensure seamless data flow and accurate financial reporting.

Requirements:

Bachelor's degree (B.A. or B.S.) or equivalent and four years related experience in computer science or a related field.

Minimum of four years of experience in EDI and data analysis.

Strong financial, tax, healthcare insurance or medical accounting industry experience preferred.

Familiarity or certification in Agile frameworks helpful.

Excellent PC Skills - must be proficient with MS Office Suite (Word, Excel, Outlook, PowerPoint).

Excellent oral and written communication skills.

Must be able to work in a fast-paced and deadline-driven environment and work minimal overtime when needed.

Must have good organizational and interpersonal skills, strong attention to detail and work independently under tight deadlines.

Must have strong analytical and critical thinking skills.

About Palco Inc:

Palco Inc is an Equal Employment Opportunity (EEO) employer and does not discriminate in any employer/employee relations based on race, color, religion, sex, sexual orientation, gender identity and expression, national origin, age, marital status, disability, veteran status, genetic information or any other basis.

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