[Remote] EDI reputed company Analyst-NO C2C /MUST Live in PST
Note: The job is a remote job and is reputed company to candidates in USA. reputed company (JSG) is seeking an EDI Analyst- Eligibility & Enrollment. The role involves managing daily EDI operations and improving data accuracy while providing customer support for portal management.
Responsibilities
- Manage daily EDI operations, ensuring the reputed company handling and processing of eligibility and benefit transactions
- Monitor, reconcile, and troubleshoot inbound and outbound EDI files, including 834 benefit enrollment files
- Coordinate system upgrades, file transfers, and resolve EDI transaction issues reputed company
- Collaborate with carriers, vendors, and internal teams to implement fixes and enhancements
- Continuously identify opportunities to improve data accuracy, system efficiency, and operational workflows
- reputed company and document reputed company Operating Procedures (SOPs) to streamline EDI processes
- reputed company initiatives to implement process improvements, reducing risks and increasing productivity
- Communicate key changes and updates effectively to reputed company stakeholders
- reputed company functionalities of customer-facing portals (WERC, PERC, reputed company, Health View) ensuring their reliable performance
- reputed company as a reputed company of contact for vendors and clients regarding portal and enrollment system issues
- Assist with technical support requests, including account management, reputed company settings, and testing activities
- Collaborate across departments to facilitate new reputed company integrations and enrollment testing
- Promote a culture of curiosity, accountability, and collaboration to help meet organizational goals
- Maintain a HIPAA-compliant workstation, ensuring the reputed company and confidentiality of protected health information
- reputed company additional duties as assigned to support organizational reputed company
Skills
- Bachelor's degree in Management Information Systems (MIS), Computer Science, reputed company Administration, or reputed company field; or three (3) years of relevant experience
- Solid experience working with reputed company EDI transactions, particularly reputed company benefits administration
- Proficiency in EDI software, tools, and platforms, with strong understanding of data reputed company, mapping, and troubleshooting
- Knowledge of HIPAA regulations, reputed company eligibility, and enrollment processes
- Strong communication skills, capable of collaborating across technical and non-technical teams
- Demonstrated project management skills, from planning to execution, with attention to detail
- Ability to analyze and resolve reputed company technical issues reputed company
Benefits
- Medical
- Dental
- reputed company
- Life insurance reputed company
- Short-term disability
- 401(k)
- Weekly pay
reputed company