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eTeam
Dallas, TX, United States
RESPONSIBILITIES: The Senior Business Systems Analyst applies analytical processes to the planning, design and implementation of technology systems and solutions to meet the business requirements of customer organizations. Defines, designs and implements strategic technology business solutions and leads multiple small to mid-size implementatio
Job Source: eTeamSaxon Global
Dallas, TX, United States
This is a 12 month contract. 100% remote. Tomorrow 1 and done interview. Must Haves: 7-8years' experience working as an Oracle EDI focused analyst/business analyst Oracle EBS experience Oracle E-Business Suite R12 modules - RLM, Order Management, Purchasing, SCM, eCommerce Gateway. Experience working on ServiceNow or other comparable ticke
Job Source: Saxon GlobalHumCap, Inc.
Plano
Job Description Job Description The Technical Manager of Clearinghouse is a strategic role at the heart of our healthcare clearinghouse operations, ensuring the seamless execution of technical processes and the delivery of high-quality software solutions. This individual will be instrumental in driving the technical direction of the organization
Job Source: HumCap, Inc.HumCap, Inc.
Plano, TX, United States
Job Description Job Description The Technical Manager of Clearinghouse is a strategic role at the heart of our healthcare clearinghouse operations, ensuring the seamless execution of technical processes and the delivery of high-quality software solutions. This individual will be instrumental in driving the technical direction of the organization
Job Source: HumCap, Inc.Accord Technologies Inc.
Dallas, TX, United States
Senior SAP EDI lead expert/Architect with S4Hana Opportunity: Contract Duration : 6 months (Extendable) Location : Dallas, Texas. (Local needed). Experience : 15+ years Visa: Any Skills sets needed : We will need someone with more depth experience in EDI message types, sterling integration and when to use what, plus, understanding of ANSI X1
Job Source: Accord Technologies Inc.Tata Consultancy Services
Dallas, TX, United States
•Experience in customer relationship in termsof interacting with customers on various levels including technical, businessand management. •Experience in customer management in terms ofservice delivery. •Ability to tailor communications to theintended audience. •Excellent customer communication skills,verbal and written . •Ability to drive project c
Job Source: Tata Consultancy ServicesMagellan Health, Inc.
Frisco, TX, United States
Looking for a Lead Edifecs Software Engineer with experience in EDI, Java, Perl, and SQL. This is a fully remote position, allowing you to work out of the comfort of your own home. Candidates should have 3+ years of recent Edifecs experience and 6+ years minimum overall as a Software Engineer. This role has a lot of investigation and developing st
Job Source: Magellan Health, Inc.VUMI Canada Inc.
Dallas, TX, United States
ORGANIZATIONAL INFORMATION We are a dynamic enterprise group of managed care and health insurance service companies which have become industry leaders in their diverse specialties. Headquartered in Dallas, Texas, the group has 10 offices around the world, including the United States, Canada, Panama, Ecuador, Colombia, and Dubai, and employs over 7
Job Source: VUMI Canada Inc.Plano, TX, United States
Zelis is pursuing an aggressive organic and non-organic growth strategy focused on providing superior healthcare claim lifecycle solutions to payors, providers and individuals from pre-payment through payment. As the company executes its growth strategy, Zelis is currently hiring EDI Analysts . The position will report to an EDI Manager and will work closely with managers and various team members.
Hiring remote at these locations -
Morristown, NJ
Atlanta, GA
Boston, MA
St Louis, MO
St Pete, FL
Plano,TX
Use advanced test editors and other technology tools to review X12 835 files for issues, to include but not limited to the following:
Balance, structure, syntactical, data type and content errors; to develop and execute strategies to solve them.
Troubleshoot by querying the database using SQL Management Studio to review stored values and/or using a text editor to manually review data files sent to Zelis by our Payer clients.
Support Payer and Provider client implementation activities by generating 835 files, reviewing content and then presenting findings to Zelis clients.
Respond to inquiries regarding 835 issues, claims, payments, and/or clearinghouse activities.
Interacting with other departments on communication issues related to customer and third-party vendor connectivity.
User acceptance testing to approve items for release.
Communicate with vendor contacts to identify file issues and disseminate the resolution to the provider or payer to maintain compliance with all HIPAA and Zelis data security standards.
Support multiple client projects simultaneously.
Ensure proper follow up and completion of projects.
Work under pressure with multiple deadlines.
Work on assignments that are complex in nature in which judgment, critical thinking and initiative are required to accomplish the objectives of the assignment.
REQUIRED EXPERIENCE:
3+ years EDI experience to include 1 year of healthcare
Technical solution guidance & design - user acceptance testing
Create, lead and facilitate presentations to Operations team, and internal & external stakeholders & clients
PREFERRED EXPERIENCE:
Bachelor's degree
EDI files(fixed length, delimited, X12 and/or EDI 835)and adjudication systems
SQL knowledge
Advanced test editors or other technology tools
Provider billing and/or claims payment experience helpful
Excellent communication skills
As a leading payments company in healthcare, we guide, price, explain, and pay for care on behalf of insurers and their members. We're Zelis in our pursuit to align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all. We partner with more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, over 4 million providers, and 100 million members, enabling the healthcare industry to pay for care, with care. Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process.
Commitment to Diversity, Equity,Inclusion, and Belonging
At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.
Equal Employment Opportunity
Zelis is proud to be an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
We encourage members of traditionally underrepresented communities to apply, even if you do not believe you 100% fit the qualifications of the position, including women, LGBTQIA people, people of color, and people with disabilities.
Accessibility Support
We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email [email protected]
SCAM ALERT: There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams. This site is secure, and any applications made here are with our legitimate partner. If you're contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare. We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis.
Email Alert for EDI Analyst -X12 835 files jobs in Plano, TX, United States
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