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EDI Specialist
2 months ago
Job Title: EDI Specialist - Business Process Expert
Job Summary:
Innova Solutions is seeking a highly skilled EDI Specialist to join our team. As an EDI Specialist, you will be responsible for managing daily team inventory activity, providing support and training to Eligibility Specialist team members, and resolving enrollment-related issues.
Key Responsibilities:
- Assist in the development of user system documentation and desk-level procedures.
- Manage daily team inventory activity and provide support/training/direction to Eligibility Specialist team members.
- Support enrollment-related issues resolution/Enrollment Resolver Group participant.
- 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.
- Be responsible for ensuring successful transfer of inbound EDI enrollment data, including troubleshooting/reconciliation of data integrity issues.
- Be responsible for managing EDI file activity for high-profile/complex EDI client business (BPO, Shared Services, non-standard, etc.).
- Be responsible for managing 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.
Requirements:
- Bachelor's degree in business administration, Management Information Systems, Computer Science, or equivalent work experience in the Healthcare/Technology space.
- Minimum 2-3 years proven EDI/eligibility experience.
About Innova Solutions:
Innova Solutions is a global technology and business transformation solutions provider. We deliver strategic solutions to our clients, enabling them to operate as leaders within their fields.
