EDI Analyst (Carmel, IN)
Summary - As part of the onboarding of new clients or their migration to new systems, electronic data interchanges need to be created or revised to exchange information between BeneSys and third parties (insurance, care providers, banks, etc.). The EDI (Electronic Data Interchange) Analyst will design, implement, and maintain these data interchanges. The EDI Analyst will also analyze data, configure, test, implement and monitor software systems to meet our client’s needs.
EDI Analyst Responsibilities include but not limited to:
- Analyzing EDI needs, configuration, testing, debugging, modification, documentation and implementation of all EDI processes
- Initiates, communicates and coordinates all EDI activities with trading partners
- Maintain documentation on procedures and processes
- Ensure compliance with HIPAA policies and procedures
- Implement and troubleshoot system changes and modifications
- Transform text or comma delimited files to load into any application
- Export EDI files to carriers via FTP/SFTP servers with automated scheduling
- Maintaining systems by identifying and correcting software defects
- Working with commercial software packages
- Assisting in creating technical specifications and test plans as requested
- Working closely with staff such as business analysts, project managers, customer service staff, other programmers, operations staff, business administrative staff, etc.
- Implementing new software into a production environment via change control processes.
- Monitoring daily EDI transactions, identifying problems, and fixing root cause
- Regular and predictable attendance is an essential function of this job
Qualifications
- 2-5 years of experience
- Strong analytical skills applied to business software solutions maintenance and/or development
- Ability to analyze business processes, find efficiencies and drive improvements
- Knowledge of the software development standards and practices
- Proven ability to determine systemic process faults, root cause and improve overall process performance across organizations
- Attentive to detail, highly organized, and able to multi-task
Education and/or Experience (preferred)
- Experience in a software application development environment in an analytical role
- Bachelor’s degree (Health Admin; Business Admin; Software Engineering or related degree)
- Knowledge of health care claims adjudication processes, logic, and data
- Hands-on health care insurance transaction (834, 837, 270, 271, etc.) data mapping and issue resolution experience
- Understanding of claims adjudication, particularly in a health care environment
- Understanding of health industry diagnosis, procedure and revenue codes
Language Skills - Ability to communicate professionally and clearly with the clients and other departments of BeneSys. Excellent written and verbal communication skills.
Reasoning Ability - Ability to apply common sense to carry out detailed written or oral instructions. Strong problem-solving skills with the ability to implement creative solutions.
Work Environment - Fast paced department with shifting priorities. Must be able to work independently.
Work Schedule - Full-time, Monday - Friday 7:30am - 4:30pm. Requires in-office days but also offers at-home flexibility.
Competitive Benefits and Compensation Package
- 15 days Paid Time Off (PTO) during first full calendar-year of service
- 12 paid holidays
- 3 days paid bereavement
- Up to 20 days paid jury leave
- Medical, dental, and vision insurance, with option for dependent coverage
- Company-paid basic life, short-term disability, long-term disability, and AD&D insurance
- 401k with employer match
- Tuition reimbursement program
- Career development opportunities
- Referral bonus for all successful full-time referrals
- Annual opportunities for increases and bonuses
Pay
The pay range for this position is $50,000 - $60,000 per year. Actual salary is dependent on skills, experience, education, and other business factors
Our Culture
BeneSys wants to be a great service provider to the members we serve, and we recognize we can only do that if we are also a great employer with successful employees. In short, our success is driven by our employees’ successes. We want to be a place where people want to work, feel proud of what they do and feel fulfilled both professionally and personally. We want to create a place where employees can find long-term growth and potential.
Our culture focuses on three core values:
- Collaboration: working together across 31 locations to achieve the best for the company and our clients
- Dedication: striving to create an environment where all employees work toward a common goal while committing to providing the best customer service to our members and our colleagues
- Integrity: doing what we say we will do. Upholding strong ethical and moral principles
ADA & EEO
Reasonable accommodations will be made so that qualified individuals with disabilities are able to complete the application process and, if hired, fulfill the essential functions of their job.