Healthcare EDI Analyst provides technical support during and after implementation for electronic data interchange applications used in healthcare settings. Responds to inquiries from vendors, payors, and providers regarding EDI issues with enrollment, claims, payments, and clearinghouse activities. Being a Healthcare EDI Analyst troubleshoots problems and deploys solutions to resolve issues. Conducts root cause analysis to prevent future problems and to suggest improvements. Additionally, Healthcare EDI Analyst may require a bachelor's degree. Typically reports to a manager. The Healthcare EDI Analyst work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Healthcare EDI Analyst typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)
Who We Are
Wipro is continuing to grow in 2024! More opportunity for advancement too!
Wipro is seeking individuals who combine excellent customer service and problem-solving skills with the ability to function effectively both as part of a team or on an individual basis to bring their talent to our team.
Wipro is a leading, publicly traded, global IT Solutions and Services company with over 200,000 dedicated employees serving clients across multiple continents and over sixty countries.
We offer a strong compensation package that includes competitive pay and day one benefits. Wipro also offers many opportunities for career advancement within our engaging and exciting culture.
JOB SUMMARY
The Business Data Analyst is a crucial role in cleaning, analyzing, interpreting data received from Business Partners. This role will be responsible for collecting Business Partners data to facilitate the understanding, clarification, and implementation to WHPS systems. The ideal candidate will have strong and analytical skills, be able to identify, error and provide true analysis to the management team.
ESSENTIAL JOB FUNCTIONS/DUTIES
· In conjunction with the conversion project manager and conversion team, the conversion analyst may act as central point of contact for Carrier leadership during the planning, implementation and post implementation of conversion phases.
· Manage assigned risks and monitor potential impacts as part of the data conversion plan.
· Participates in implementation/discovery meetings with Carrier to structure project plans, communication, processes and carrier training.
· Conducts requirements gathering, design sessions and technical reviews with Carriers for data conversion needs
· Perform and execute mock runs and executing production data conversion.
· Clearly articulate and communicate with both technical and non-technical individuals.
· Perform data analysis on output of files processed to source system and report data issues back to the Carrier for resolution during mock runs and production cutover.
· Defect tracking.
· Provide conversion metrics.
· Must have understanding of EDI 834.
QUALIFICATION REQUIREMENTS
· Bachelor’s degree or equivalent.
· Knowledge of Enrollment/Billing processing.
· Knowledge of XML files
· SQL Knowledge
· Ability to analyze large quantity of data
· Hands on experience in developing and supporting data conversion projects
· Systemic, logical problem solver with well-developed analytical skills.
· Advanced Excel skills and expert level formula writing ability to include if/then statements, VLOOKUP's, sumif(s), countif(s), etc.
· Ability to work both independently and in a team-oriented, collaborative environment is essential.
· Ability to conform to shifting priorities, demands.
· Critical Thinking – ability to approach problems logically and make informed decisions based on data.
· Effective verbal, written and interpersonal skills.
· Ability to travel.
EDUCATION REQUIREMENTS
· Bachelor's degree or equivalent work experience required
LICENSING/CERTIFICATION REQUIREMENTS
· none
PHYSICAL REQUIREMENTS
· Working conditions are normal for an office environment.
· May be subject to interruptions.
· Minimal physical exertion.
· Required to work on a computer.
DISCLAIMER:
The preceding job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this classification. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Job Type: Full-time
Pay: $48,000.00 - $65,000.00 per year
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Work Location: In person