EDI Specialist
2 days ago
Partner's Consulting Inc is seeking an EDI Specialist to join our team. The ideal candidate will have extensive knowledge of EDI Portal and experience managing inbound EDI enrollment file activity.
Key Responsibilities:- Manage EDI file activity for high-profile / complex EDI client business
- Direct contact between EDI senders, clients, Account Management teams, Customer Experience teams, BizTalk / .Net teams, and project teams
- Support project work within the business area (leads and/or participates in project meetings, sprint work, business requirement documentation, system upgrades, and business checkouts)
- Manage all robotic process automation (RPA) work for the business area
- Provide support to the Department's Business Systems Analyst with client-specific EDI enrollment testing
- Assist in the development of user system documentation and desk level procedures
- Manage daily team inventory activity and provide support, training, and/or direction to Eligibility Specialist team members
- Support enrollment-related issues resolution as Enrollment Resolver Group participant
- Organize/disperses team project work to other team members
- Assist with manual enrollment processing for all lines of business
- Support Member Enrollment System platform (to include development work, inquiries, and EDI file activity)
- Meet departmental quality and production standards
Requirements:
- Bachelor's degree in Business Administration, Management Information Systems, or Computer Science; or equivalent work experience in the Healthcare/Technology space
- In lieu of a degree, a minimum 2 to 3 years of proven EDI / eligibility experience
- Understanding of XML / ANSI 834 / HIPAA X12 transactions is preferred
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