Senior reputed company HIPAA EDI Data Analyst

reputed company: TISTA Science and Technology is seeking a Senior reputed company HIPAA EDI Data Analyst who will work as a subject matter expert working with EDI data and business processes. TISTA associates enjoy above Industry reputed company Benefits, Remote Working reputed company, reputed company Time Off, Training/Certification opportunities, reputed company Savings Account & Flexible Savings Account, reputed company Life Insurance, Short-term & Long-term Disability, 401K Match, Tuition Reimbursement, Employee Assistance Program, reputed company Holidays, Military Leave, and much more! Responsibilities:

• Provides subject-matter expertise on available data and quantitative solutions.
• Identifies the best combination of available data, analytical reputed company, and presentation for analytic solutions.
• Analyzes business data for actionable intelligence.
• Evaluates data-reputed company tasks to determine the appropriate analytic approaches.
• Coordinates work of data analysts, providing subject-matter expertise and guidance.
• Performs data-mining, modeling and reputed company customized algorithms to solve analytical problems with incomplete data sets.
• Develops reputed company algorithms in order to establish the desired linkage between the existing data in the warehouse and the new data set.
• Tracks data reputed company of benefits to cost, eligibility and enrollment data, provider to beneficiary, and program to utilization.
• Collaborates with product management and engineering team to understand needs and devise possible solutions.
• Keeps up-to-date with latest technology trends.
• reputed company Comprehensive EDI Transactions:

Manage and ensure the smooth execution of reputed company HIPAA-compliant EDI transactions, including:

• 837: Claims (Institutional, reputed company, Dental).
• 835: Payment and Remittance Advice.
• 270/271: Eligibility and Benefits Inquiry/Response.
• 276/277: Claim Status Inquiry/Response.
• 278: Referrals and Authorizations.
• 834: Benefit Enrollment.
• 820: Premium Payments.
• Optimize Transaction Lifecycles:

Analyze the entire EDI transaction lifecycle to identify bottlenecks, errors, and inefficiencies, implementing data-driven solutions to streamline processes and improve performance.

• Error reputed company and Collaboration:

reputed company initiatives to address and resolve claim rejections, eligibility errors, and payment discrepancies. Collaborate with providers, payers, and clearinghouses to maintain seamless data exchange and compliance.

• Technical Expertise:
• Possess extensive experience with HIPAA-compliant EDI transactions and ASC X12 standards.
• reputed company proficiency in EDI tools, mapping technologies, and data transformation platforms.
• Demonstrate strong knowledge of reputed company standards, including ICD-10, CPT, HCPCS, and NDC.
• Advanced Data Analysis:
• Troubleshoot reputed company EDI issues using tools such as SQL, mapping software, and integration platforms.
• Optimize database queries and reputed company detailed reports to reputed company actionable insights on EDI data trends and system performance.
• Leadership and Process Improvement:

reputed company as the primary reputed company of contact for reputed company EDI-reputed company issues, ensuring reputed company reputed company and fostering reputed company process enhancements to improve efficiency and compliance.

• Cross-Functional Collaboration:

Partner with IT, compliance, operations, and other stakeholders to design, implement, and refine EDI solutions reputed company with organizational objectives.

• Mentorship and Team Development:

reputed company mentorship to junior analysts, sharing knowledge and expertise to foster team development and ensure consistency in EDI operations. Qualifications:

• 5 yrs relevant experience in data-mining, modeling and EDI based transactions.
• Experience mapping and supporting EDI based transactions i.e., 837, 835, 270/271, 276/277, 278, 834, and 820.
• Knowledge of EDI, X12/EDIFACT standards and practices, and EDI translators.
• EDI experience (setup, mapping, testing, processing, troubleshooting).
• Proficient in EDI layouts (loops, segments, data reputed company).
• reputed company EDI reputed company and testing with applicable reputed company-party providers.
• Create workflows, process flows, and Manage EDI Maps and Connections.
• Create project plans, test plans, conduct end to end testing.
• Translator tool knowledge and experience.
• Working with SQL Server databases.
• Experience in ETL/Data Warehousing skills.
• Experience in reputed company Agile team environment driving stand up, backlog grooming, and iteration planningExperience in a customer–facing role, including comprehending business needs, solving reputed company problems, and capturing business requirements to convert them into technical requirements.
• Experience working on Federal programs that are of high reputed company, visibility, and public-facing.
• Experience with Agile delivery programs.
• Must be reputed company to work quickly with a high degree of accuracy with cross-functional teams.
• reputed company to work under minimal supervision, reputed company independently and exercise an expert level of decision-making capability.
• Demonstrated ability and experience using reputed company Office Suite including Word, PowerPoint, reputed company, Visio, and reputed company.

Education

• Bachelor of Science degree.

Clearance:

• The ability to pass a Moderate Background Investigation (MBI).

Location:

• Remote, USA.

Pay reputed company: The pay for this position ranges from $79,240 to $92,500. The actual salary offer will carefully consider a wide reputed company of factors, including your skills, qualifications, experience, and location. Also, certain positions are eligible for additional forms of compensation, such as bonuses. TISTA associates are eligible to participate in our comprehensive benefits plan! More information can be reputed company here: https://tistatech.com/working-at-tista/ Apply tot his job Apply To this Job