EDI Specialist

Hive, LLC is seeking an experienced EDI Specialist to join our team. As an EDI Specialist, you will be responsible for managing electronic data interchange (EDI) processes, ensuring the accurate and efficient exchange of data between our company and external partners. You will work closely with various stakeholders, including healthcare providers, insurance companies, and vendors, to troubleshoot and resolve EDI-related issues, while also implementing and maintaining EDI standards and protocols. The ideal candidate will have a strong background in healthcare EDI transactions and possess excellent analytical and problem-solving skills. 

Responsibilities

Maintain EDI X12 transaction sets, including 837, 835, and 270/271 

Set up and manage EDI partner connections and trading relationships 

Monitor EDI transactions, ensuring data accuracy and integrity 

Investigate and resolve EDI errors and exceptions 

Collaborate with stakeholders to address EDI-related issues and provide timely resolution 

Maintain knowledge of industry standards and best practices in EDI 

Participate in the testing and implementation of new EDI processes and enhancements 

Provide training and support to internal teams on EDI processes and procedures 

Set up and maintain payer fee tables 

Requirements

Bachelor's degree in computer science, information systems, or related field 

Minimum of 3 years of experience in EDI implementation and support in healthcare or related field 

Strong knowledge of healthcare EDI standards, including X12 and HIPAA regulations 

Experience with EDI mapping and translation tools 

Proficiency in SQL and data querying preferred 

Excellent analytical and problem-solving skills 

Strong attention to detail and accuracy 

Ability to work independently and collaboratively in a team environment 

Ability to manage projects simultaneously and achieve goals 

Benefits

Collaborative work environment 

Health Care Plan (Medical, Dental, & Vision) 

Retirement Plan (401k) 

Life Insurance (Basic, Voluntary, & AD&D) 

Paid Time Off (Vacation, Sick, & Public Holidays) 

Full time 

Salaried $50-$55k 

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