EDI Specialist

2 days ago


Philadelphia, Pennsylvania, United States Partner's Consulting Inc Full time
Job Title: EDI Specialist

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

  • EDI Specialist

    3 weeks ago


    Philadelphia, Pennsylvania, United States Insight Global Full time

    EDI Specialist Job DescriptionWe are seeking a highly skilled EDI Specialist to join our team at Insight Global. As an EDI Specialist, you will be responsible for ensuring the successful transfer of inbound EDI enrollment data, including troubleshooting and reconciliation of data integrity issues.You will also be responsible for managing EDI file activity...

  • EDI Specialist

    4 weeks ago


    Philadelphia, Pennsylvania, United States Insight Global Full time

    EDI Specialist Job DescriptionWe are seeking a highly skilled EDI Specialist to join our team at Insight Global. As an EDI Specialist, you will play a critical role in ensuring the successful transfer of inbound EDI enrollment data, troubleshooting and reconciling data integrity issues, and managing EDI file activity for high-profile and complex EDI client...

  • EDI Specialist

    4 days ago


    Philadelphia, Pennsylvania, United States Partner's Consulting, Inc. Full time

    EDI Specialist Job DescriptionWe are seeking an experienced EDI Specialist to join our team at Partner's Consulting, Inc. The ideal candidate will have a strong understanding of EDI Portal and the ability to manage inbound EDI enrollment file activity.Key Responsibilities:Manage EDI file activity for high-profile clients, ensuring successful transfer of...

  • EDI Specialist

    3 days ago


    Philadelphia, Pennsylvania, United States American CyberSystems, Inc. Full time

    Job Title: EDI SpecialistA leading company in the technology and business transformation space is seeking an experienced EDI Specialist to join their team.Job Summary:The EDI Specialist will be responsible for assisting in the development of user system documentation and desk-level procedures. They will also manage daily team inventory activity, provide...

  • EDI Specialist

    5 hours ago


    Philadelphia, Pennsylvania, United States Pyramid Consulting, Inc Full time

    EDI Specialist OpportunityPyramid Consulting, Inc is seeking a skilled EDI Specialist to join our team. This is a contract opportunity with long-term potential and is located in a hybrid setting. Key Responsibilities:Implement and maintain electronic data interchange systemsEnsure seamless data exchange between trading partnersCollaborate with...

  • EDI Specialist

    1 day ago


    Philadelphia, Pennsylvania, United States Insight Global Full time

    EDI Specialist OpportunityWe are seeking an EDI Specialist to join our team at Insight Global. As an EDI Specialist, you will be responsible for ensuring the successful transfer of inbound EDI enrollment data, including troubleshooting and reconciliation of data integrity issues.Key areas of responsibility include direct contact with EDI senders, clients,...

  • EDI Specialist

    7 hours ago


    Philadelphia, Pennsylvania, United States Volt Full time

    EDI Specialist Job DescriptionWe are seeking an experienced EDI Specialist to join our team at Volt. The successful candidate will have a strong background in EDI and business process optimization.Key Responsibilities:Assist in the development of user system documentation and desk-level procedures.Manage daily team inventory activity and provide support,...


  • Philadelphia, Pennsylvania, United States Top Stack Full time

    EDI Interface Analyst Job DescriptionAt Top Stack, we're seeking a highly skilled EDI Interface Analyst to join our team. As a key member of our operations team, you will be responsible for providing expert-level support for electronic data interchange (EDI) interfaces, ensuring seamless communication between our systems and those of our clients and...


  • Philadelphia, Pennsylvania, United States Partner's Consulting Inc Full time

    Job Title:Junior Business System Analyst - EDI ClaimsJob Type:Contract-to-HireOur client, a leading healthcare organization, is seeking a skilled Business Analyst with experience in EDI claims processing and a strong background in the healthcare industry.Key Responsibilities:Collaborate with internal and external stakeholders to ensure timely claims...


  • Philadelphia, Pennsylvania, United States True Commerce Full time

    Implementation Specialist IIIAre you ready to take your career to the next level? At TrueCommerce, we're looking for a highly skilled Implementation Specialist III to join our team. As a key member of our global supply chain network, you'll play a critical role in ensuring the accurate and timely implementation of complex engagements.Key...


  • Philadelphia, Pennsylvania, United States MANN+HUMMEL Full time

    Job SummaryWe are seeking a highly skilled Customer Service Analyst to join our team at MANN+HUMMEL. As a key member of our customer service team, you will be responsible for managing customer orders, ensuring accurate records, and supporting shipping operations.Main ResponsibilitiesMaintain and update customer past due and expedite logs to ensure timely...

  • Infogix Developer

    2 days ago


    Philadelphia, Pennsylvania, United States Damco Solutions Full time

    The Business Intelligence Specialist at Damco Solutions works closely with the Project Manager, developers, architects, and other stakeholders to implement Infogix controls and reports required by the business.This role requires knowledge in Infogix Assure and Insight application, as well as the ability to understand business requirements, work with...


  • Philadelphia, Pennsylvania, United States PATH People Acting To Help, Inc. Full time

    Job Title: Senior Medical Claims ClerkAbout PATHPATH (People Acting to Help) Inc. is a comprehensive Community Behavioral Health and Intellectual Disability Center. We offer a wide range of services and supports to meet the needs of our community in Northeast Philadelphia.Our MissionTo help individuals achieve a more independent and fulfilling life.Why Work...


  • Philadelphia, Pennsylvania, United States NantHealth Full time

    Job SummaryWe are seeking a highly skilled Business Systems Implementation Analyst to join our team at NantHealth. As a key member of our implementation team, you will be responsible for gathering functional requirements, documenting workflows, and collaborating with cross-functional teams to deliver high-quality solutions.Key Responsibilities:Gather and...


  • Philadelphia, Pennsylvania, United States NantHealth Full time

    About NantHealthNantHealth is a leading healthcare technology company that simplifies healthcare by managing data and decisions. Our products target specific pain points that inhibit healthcare from reaching its full potential. We're seeking innovative thinkers who love doing meaningful work.Job SummaryThe Sr. Business Systems Implementation Analyst is...


  • Philadelphia, Pennsylvania, United States NantHealth Full time

    Job Title: Sr. Business Systems Implementation AnalystAre you a detail-oriented professional with a passion for streamlining business processes? Do you thrive in a fast-paced environment where no two days are the same? We're seeking a skilled Sr. Business Systems Implementation Analyst to join our team at NantHealth.Job Summary:The Sr. Business Systems...

  • EDI Specialist

    6 days ago


    Philadelphia, United States Partner's Consulting, Inc. Full time

    Title: EDI SpecialistLocation: Philadelphia, PAType: ContractOur client is seeking an EDI Specialist with extensive knowledge of EDI Portal and managing inbound EDI enrollment file activity. The EDI Specialist will ensure successful transfer of inbound EDI enrollment data to include troubleshooting and reconciliation of data integrity issues. Key...


  • philadelphia, United States IntePros Full time

    IntePros is seeking an EDI Enrollment Specialist with a strong foundation in Excel to join our premier Healthcare client! In this role, you will manage and optimize EDI processes, ensuring accurate and efficient handling of enrollment files. If you are a detail-oriented individual with solid Excel skills and a willingness to grow in EDI, we encourage you to...


  • philadelphia, United States IntePros Full time

    IntePros is seeking an EDI Enrollment Specialist with a strong foundation in Excel to join our premier Healthcare client! In this role, you will manage and optimize EDI processes, ensuring accurate and efficient handling of enrollment files. If you are a detail-oriented individual with solid Excel skills and a willingness to grow in EDI, we encourage you to...

  • EDI Specialist

    22 hours ago


    Philadelphia, United States Pyramid Consulting, Inc Full time

    Immediate need for a talented EDI Specialist . This is a 04+months contract opportunity with long-term potential and is located in Philadelphia, PA (Hybrid). Please review the job description below and contact me ASAP if you are interested. Job ID:24-47090 Pay Range: $30 - $33/hour. Employee benefits include, but are not limited to, health insurance...


  • Philadelphia, United States IntePros Full time

    IntePros is seeking an EDI Enrollment Specialist with a strong foundation in Excel to join our premier Healthcare client! In this role, you will manage and optimize EDI processes, ensuring accurate and efficient handling of enrollment files. If you are a detail-oriented individual with solid Excel skills and a willingness to grow in EDI, we encourage you to...


  • Philadelphia, United States IntePros Consulting Full time

    Position Title: EDI Enrollment Analyst  Location: Philadelphia, PA Position Overview: We are seeking two EDI Enrollment Analysts to join our team in Philadelphia. These roles require strong Excel skills, effective communication, and analytical abilities. While some EDI experience is preferred, the ideal candidates should be eager to learn and grow...