Healthcare EDI Analyst jobs in Houston, TX

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)

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EDI Business Analyst
  • Apex Health Solutions
  • Houston, TX FULL_TIME
  • Summary
    Apex Health Solutions is leading a healthcare transformation through our partnerships with physicians and healthcare insurers. Through our unique models, Apex empowers physicians to truly manage a patient’s health, delivering high quality, affordable care in a modern, patient focused approach.

    The EDI Business Analyst is responsible for ensuring EDI transmissions meet platform specifications in terms of business requirements, application design and infrastructure requirements. Collaborate with project managers and business analysts to define product development tasks and estimates. Develop, implement and/or modify business processes to support automation with new or existing trading partners and/or customers. Work closely with EDI development staff to provide break fix analysis on existing processes. Troubleshoot all reported errors and provide proper documentation and feedback. Resolve auditing errors and determine if customer audit procedure changes are needed. Communicate with management and/or plan operations to understand any changes or concerns in auditing procedures. Provide management with insight into any customer specific issues or trends that adversely affect the auditing process. Proactively work to assist others in achieving the organization's objectives.

    Essential Functions
    • Design, develop and implement X12 EDI solutions for healthcare transactions such as claims, eligibility, and remittance advice (834, 835, & 837).
    • Conduct thorough testing of EDI transactions to identify and resolve any issues, ensuring data integrity and compliance with standards.
    • Use a combination of analysis and experience to define, validate, and combine data across multiple sources.
    • Create and maintain documentation for EDI processes, mappings, and configuration, facilitating knowledge transfer and ensuring system understanding.
    • Ensures that project requests are clear, concise, measurable, and marketable with well-defined acceptance criteria.
    • Drives resolution of issues related to production issues, escalating when appropriate.
    • Utilize EDI mapping tools to transform data between different formats, ensuring accurate and secure exchange of healthcare information.
    • Provide mapping information and processing input to SQL developers to enable the appropriate database design best suited to the data.
    • Work with developers to present data in a meaningful and appealing manner that provides the most decision support value to the users.
    • Participates with technical and data analysis teams to troubleshoot defects (technical and functional) during post-release support.
    • Monitor the production environment and proactively prioritize, communicate, and help to resolve any operational EDI process or system issues.
    • Proven SQL query skills and knowledge of SQL database concepts such as tables, data types, keys, joins, indexes, transactions.

    Education
    • Bachelor’s Degree in Computer Science or equivalent experience.

    Experience
    • Minimum 3 years of experience working as an EDI Business Analyst in a technical environment with responsibilities in developing business requirements, data analysis, developing solutions, supporting both business and technical teams.
    • Axiom TransSend experience a plus.
    • Agile Methodologies domain experience a plus.
  • 7 Days Ago

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Erp specialist
  • EDI Staffing
  • Houston, TX FULL_TIME
  • About the job Responsible for supporting users, training, testing, system improvement, research, and development on our Infor CloudSuite Industrial (i.e., Syteline) system. JOB RESPONSIBILITIES : Perf...
  • 1 Month Ago

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Healthcare Data Analyst
  • Apex Health Solutions
  • Houston, TX FULL_TIME
  • Summary Apex Health Solutions is leading a healthcare transformation through our partnerships with physicians and healthcare insurers. Through our unique models, Apex empower physicians and risk-beari...
  • 16 Days Ago

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EDI Representative
  • U.S. Physical Therapy
  • Houston, TX FULL_TIME
  • Overview Company Name: U.S. Physical Therapy, Inc. Position: EDI Representative Location: Houston, Texas Employment Type: Full-Time Experience: 1 years We Are Seeking: U.S. Physical Therapy, Inc. is c...
  • 21 Days Ago

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Healthcare Data Analyst II, Fully Remote
  • Centauri Health Solutions
  • Houston, TX FULL_TIME
  • Role Overview: Revenue Cycle Analytics (RCA)products help providers by creating actionable information to improve revenue cycle performance. The Data Analyst support RCA delivery teams in implementing...
  • Just Posted

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Senior Financial Analyst (Healthcare Industry Exp Preferred)
  • Houston Methodist
  • Houston, TX FULL_TIME
  • Overview JOB SUMMARY At Houston Methodist, the Senior (Sr.) Financial Analyst position is responsible for maintaining and performing complex data analysis related to the clinical or financial performa...
  • 2 Months Ago

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0 Healthcare EDI Analyst jobs found in Houston, TX area

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Project Controls Analyst
  • Black & Veatch
  • Houston, TX
  • **Project Controls Analyst** Date: Mar 7, 2024 Location: Overland Park, KS, US US Ann Arbor, MI, US Burlington, MA, US H...
  • 3/28/2024 12:00:00 AM

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Compensation Analyst
  • Harris Health System
  • Houston, TX
  • Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Departm...
  • 3/28/2024 12:00:00 AM

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"Senior Payroll Analyst"
  • H-GAC
  • Houston, TX
  • Career Center New Search Login Page Position Description Senior Payroll Analyst Department Finance Employment Duration F...
  • 3/28/2024 12:00:00 AM

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DATA ENGINEER
  • Shell Energy Solutions
  • Houston, TX
  • At Shell Energy Solutions, we believe there's a better way to power your business and home. Aligned with Shell's ambitio...
  • 3/27/2024 12:00:00 AM

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Quality Patient Safety Analyst - Clinical License
  • Catholic Health Initiatives
  • Houston, TX
  • **Overview** Baylor St. Lukes Medical Center is an internationally recognized leader in research and clinical excellence...
  • 3/25/2024 12:00:00 AM

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BloombergNEF Gas Analyst
  • Bloomberg
  • Houston, TX
  • BloombergNEF Gas Analyst **Houston, TX** Posted Feb 15, 2024 - Requisition No. 123232 BloombergNEF (BNEF) is seeking a t...
  • 3/25/2024 12:00:00 AM

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ACCOUNTS RECEIVABLE ANALYST I
  • Shell Energy Solutions
  • Houston, TX
  • Job Type Full-time Description At Shell Energy Solutions, we believe there's a better way to power your business and hom...
  • 3/24/2024 12:00:00 AM

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Travel Insurance ePayments Sr. Business Analyst/Product Owner
  • AIG
  • Houston, TX
  • Who we are American International Group, Inc. (AIG) is a leading global insurance organization. AIG member companies pro...
  • 3/24/2024 12:00:00 AM

Houston is located 165 miles (266 km) east of Austin, 88 miles (142 km) west of the Louisiana border, and 250 miles (400 km) south of Dallas. The city has a total area of 627 square miles (1,620 km2); this comprises 599.59 square miles (1,552.9 km2) of land and 22.3 square miles (58 km2) covered by water. The Piney Woods are north of Houston. Most of Houston is located on the gulf coastal plain, and its vegetation is classified as temperate grassland and forest. Much of the city was built on forested land, marshes, swamp, or prairie and are all still visible in surrounding areas.[citation need...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Healthcare EDI Analyst jobs
$53,881 to $72,658
Houston, Texas area prices
were up 2.3% from a year ago