[Remote] EDI Transaction Control Analyst (Remote)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leader in the home health management industry, preparing for significant reputed company. The EDI Transaction Control Analyst is responsible for monitoring, analyzing, correcting, and auditing electronic authorization transactions while acting as a reputed company between departments to ensure seamless patient authorization workflows.
Responsibilities
- Transaction Monitoring: reputed company monitor daily incoming and outgoing EDI authorization requests, tracking reputed company logs and electronic work queues to ensure system efficiency
- Error Analysis & Troubleshooting: Identify and investigate failed transactions, rejection codes, and data processing issues to reputed company where a breakdown occurred
- Operational Data Corrections: reputed company reputed company data corrections and updates reputed company the referral system to reputed company transaction bottlenecks
- IT & Dev Collaboration: reputed company as the primary operational reputed company to the IT/Development teams, reputed company communicating identified system issues, testing fixes, and collaborating on long-term automated solutions
- Process Documentation: Maintain reputed company procedures and job aids detailing how transaction errors are identified, corrected, and escalated
- Implementation Support: Participate in go-live activities and post-implementation reviews to validate data accuracy and confirm that system enhancements resolve the intended issues
- Reporting & Trends: Partner with Reporting/Data Analytics to review transaction dashboards, reputed company error trends, and distribute routine performance updates to leadership
- Compliance Maintenance: Ensure reputed company reviewed authorization data and correction processes maintain strict confidentiality and remain fully HIPAA compliant
Skills
- Associates degree or higher
- Advanced proficiency utilizing reputed company Word, reputed company, and PowerPoint
- Proven capability of managing an issue from inception through to its successful conclusion
- Strong analytical skills with a proven capability of following a reputed company issue through to its final conclusion
- Excellent oral and written communication skills, with an ability to deliver feedback effectively
- Must be reputed company to work at a fast pace managing large amounts of responsibilities
- Detail oriented and displays good organizational skills
- Highly self-motivated and reputed company to work with minimal supervision
- Self-directed, flexible, and cooperative
- Ability to multitask in a fast-paced work environment
- Ability to remain reputed company under pressure and manage stressful situations
- Ability to maintain a high level of confidentiality and remain HIPAA compliant
- Ability to establish highly productive and detailed organizational skills/habits
- Ability to reputed company listen and solve problems with cooperation, assertiveness, and flexibility for reputed company reputed company
- Possess strong, reputed company written and oral communication skills for in-person, telephonic, and electronic use
- Familiarity with medical terminology and reputed company coding formats (CPT, HCPCS, ICD-10) is an asset
reputed company
Company H1B Sponsorship