Healthcare EDI Analyst, Sr. jobs in Maine

Healthcare EDI Analyst, Sr. 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, Sr. troubleshoots problems and deploys solutions to resolve issues. Conducts root cause analysis to prevent future problems and to suggest improvements. Additionally, Healthcare EDI Analyst, Sr. may require a bachelor's degree. Typically reports to a manager. The Healthcare EDI Analyst, Sr. occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Healthcare EDI Analyst, Sr. typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)

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Edi
  • MEMIC
  • Portland, ME FULL_TIME
  • The Mission of The MEMIC Group is to make workers' comp work better with compassion, trusted partnerships, and relentless commitment to workforce safety.

    The secret to the success and longevity of great organizations is their shared vision and strong values. At MEMIC our values are to be conscientious, to be an expert, to be a partner, to be curious and to be transparent.

    The EDI Assistant I is responsible for overseeing EDI transmissions, testing, research and compliance for all jurisdictions where MEMIC is licensed.

    Principal Duties and Responsibilities :

    • Reconcile EDI error reports and acknowledgement reports for EDI transmissions in multiple jurisdictions to ensure timely and successful transmission of claims data.
    • Partner and maintain relationships with vendors, medical providers and jurisdictional parties to ensure compliance, penalties, testing and other EDI issues are resolved appropriately and timely.
    • Input First Report of Injury (FROI) and Subsequent Report of Injury (SROI) for EDI transmission on external MEMIC partner sites as appropriate per jurisdictional requirements.
    • Research EDI compliance standards and maintain compliance models for all jurisdictions where MEMIC is licensed. Test and prepare trading agreements with new jurisdictions.
    • Research, respond and track First Report of Injury filings that have resulted in penalties for not recording timely in multiple jurisdictions.
    • Support compliance team goals by assisting with special projects or tasks as directed by Manager, Claim Compliance.
    • Work closely with internal partners and external stakeholders to provide compliance support, feedback, and assistance regarding compliance requirements and regulations.
    • Monitor specific areas of concern where compliance risk is high and reports to Manager, Claim Compliance where there are issues of non-compliance.

    Requirements :

    • A minimum of 1 year of customer service and / or compliance experience, or an equivalent combination of education and work experience.
    • Previous experience or knowledge of Electronic Data Interchange and workers’ compensation in multiple jurisdictions a plus.
    • Must be organized and detailed oriented.
    • Strong written and verbal communication skills are essential.
    • Must have strong ability to prioritize tasks and focus.
    • Speed and accuracy in typing a must.
    • A working knowledge of Microsoft Office is essential.
    • Knowledge of state specific reporting requirements preferred.

    Our comprehensive benefits package includes all traditional offerings such as :

    • Health Insurance options, Dental Insurance options and Vision Insurance
    • Employee Life Insurance / AD&D and Dependent Life Insurance options
    • Short-term & Long-term Disability
    • Flexible Medical and Dependent Care Account
    • Accident Insurance
    • Critical Illness Insurance
    • Employee Assistance Program
    • Legal / Identify Theft Insurance options
    • Long Term Care Insurance
    • Pet Insurance
    • 401 (k) Retirement Plan with match up to 5%, plus profit sharing & discretionary contributions (subject to vesting)
    • 4 weeks of Paid Time Off (PTO)
    • 7 paid holidays

    We also offer other benefits to help foster a healthy, balance lifestyle such as :

    • Flextime schedules
    • Paid Parental Leave
    • Student loan paydown and refinancing assistance
    • Educational assistance for job related courses, seminars, certifications or degrees
    • One paid day every year to volunteer for your non-profit of choice
    • On-site fitness center (Maine & Virginia) or fitness reimbursement
    • Subsidized parking
    • Sit-Stand desks & daily stretch breaks
    • Last updated : 2024-03-26

  • Just Posted

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EDI Assistant
  • Opportunities at MEMIC
  • Portland, ME FULL_TIME
  • The Mission of The MEMIC Group is to make workers' comp work better with compassion, trusted partnerships, and relentless commitment to workforce safety. The secret to the success and longevity of gre...
  • Just Posted

I
Program Analyst (Mid or Sr.)
  • INDUS Technology, Inc.
  • Bath, ME FULL_TIME
  • The Team and the Role INDUS is a 100% employee-owned, customer-focused government services provider with expertise in Engineering, Information Technology, Cybersecurity, Program/Financial Management, ...
  • 18 Days Ago

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Sr. Analyst HRIS Delivery
  • Retail Business Services
  • Scarborough, ME FULL_TIME
  • Address: USA-ME-Scarborough-145 Pleasant Hill Rd Store Code: HRIS (5135611) Retail Business Services is the services company of leading grocery retail group Ahold Delhaize USA, currently providing ser...
  • 2 Days Ago

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Sr. Payroll Analyst
  • DocuSign
  • Southport, ME FULL_TIME
  • Company Overview DocuSign helps organizations connect and automate how they agree. Our flagship product, eSignature, is the world’s #1 way to sign electronically on practically any device, from virtua...
  • 1 Month Ago

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Sr. Field Service Tech - Portland, ME (Remote)
  • Signode -Sr. Field Service Tech
  • Portland, ME FULL_TIME
  • Sr. Field Service Tech - Portland, ME (Remote) Apply Now Description/Job Summary Compensation:$35.50 - $42.75/hourly based on experience and backgroundBenefits:Signode offers a comprehensive benefits ...
  • 13 Days Ago

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Senior Health Care Analyst
  • Emergent Holdings
  • Detroit, MI
  • Job Description SUMMARY Responsible for planning, organizing, directing, implementation, and leading department assignme...
  • 3/28/2024 12:00:00 AM

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Public Health Analyst
  • Substance Abuse and Mental Health Services Administration
  • Rockville, MD
  • Summary This position is located in the Department of Health and Human Services, Substance Abuse and Mental Health Servi...
  • 3/28/2024 12:00:00 AM

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Medical Device Assembler - Day or Swing - Medical/Health - Analysts Menlo Park , California Added - 2 hours ago
  • Analysts International Corp.
  • **Medical Device Assembler - Day or Swing - Medical/Health** Menlo Park, California Contract Added - 2 hours ago **Locat...
  • 3/28/2024 12:00:00 AM

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Health Care Analyst
  • G-TECH
  • Detroit, MI
  • Engagement Description - This role will support member engagement data needs and communication orchestration efforts for...
  • 3/27/2024 12:00:00 AM

C
Medical Device Assembler - Day or Swing - Medical/Health - Analysts Menlo Park , California Added - 2 hours ago
  • Comforcehealth
  • **Medical Device Assembler - Day or Swing - Medical/Health** Menlo Park, California Contract Added - 2 hours ago **Locat...
  • 3/27/2024 12:00:00 AM

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Phlebotomist II - Health Care - Analysts
  • ComforceHealth
  • Mission Viejo, CA
  • Job ID: 943316 Mission Viejo , California Job Type: Contract Added - a day ago Job Description Innova Solutions is immed...
  • 3/25/2024 12:00:00 AM

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Occupational Safety Health Analyst
  • Leidos
  • Fremont, CA
  • Description Looking for an opportunity to make an impact? At Leidos, we deliver innovative solutions through the efforts...
  • 3/11/2024 12:00:00 AM

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Occupational Safety Health Analyst
  • Leidos
  • Auburn, WA
  • Description Leidos is a Fortune 500™ company aimed at embracing and solving some of the world’s most pressing challenges...
  • 2/1/2024 12:00:00 AM

To the south and east is the Atlantic Ocean and to the north and northeast is New Brunswick, a province of Canada. The Canadian province of Quebec is to the northwest. Maine is both the northernmost state in New England and the largest, accounting for almost half of the region's entire land area. Maine is the only state in the continental US to border only one other American state (New Hampshire to the South and West). Maine is the easternmost state in the United States in both its extreme points and its geographic center. The town of Lubec is the easternmost organized settlement in the United...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Healthcare EDI Analyst, Sr. jobs
$67,135 to $85,810

Healthcare EDI Analyst, Sr. in Charlotte, NC
The job role of an EDI analyst in healthcare is nothing different than the traditional ones.
December 07, 2019
Healthcare EDI Analyst, Sr. in Youngstown, OH
The only difference is that the analyst has to legitimate and deploy the systems using EDI standards and XML based web implementation for healthcare base segments.
January 04, 2020
Healthcare EDI Analyst, Sr. in Rock Island, IL
They are doing some excellent job in helping healthcare organisations to proceed with smooth data interchange.
January 06, 2020