*KINDLY REFER IF YOU HAVE ANY FRIENDS INTERESTED FOR ANY OF THE BELOW OPENINGS*
*Requirement Details:* *Job title: **Healthcare EDI Eligibility Analyst* *Location: **Baltimore, MD* *Duration: 12+ months* *Job Description*: *Primary job responsibility is to assume responsibility for the development, internal production and support process related and ensuring the timely and accurate processing of 834 X12 Eligibility files for Eligibility submitted by Plans maintained in the healthcare Membership system and other EDI related files. * *Major Duties and Responsibilities:* Primary analytical role related to the claims adjudication system and internal processes. Responsible for importing, validating and reporting data into database or exporting data from the database into appropriate EDI formats to support business processes. Responsible for developing and testing *HIPAA EDI 5010 X12* mapping formats (*834, 999*) as well as industry standard and custom formats using ETL tools. Manage day-to-day production file monitoring for complex 834 Eligibility file processing including troubleshooting and error investigation. Coordinate with external clients and internal operations depts. to ensure effectual setup and design of data formatting and flow for new client implementations. Monitor routine reporting between Clearinghouses, Health Plans and / or Provider networks to maintain regulatory compliance with EDI transmission reconciliation Provides ad-hoc data/reports to clients or internal departments per request. Produce comprehensive documentation of all developed software & repositories. -- *Thanks & Regards,* Sam Thomas -- You received this message because you are subscribed to "rtc-linux". Membership options at http://groups.google.com/group/rtc-linux . Please read http://groups.google.com/group/rtc-linux/web/checklist before submitting a driver. --- You received this message because you are subscribed to the Google Groups "rtc-linux" group. To unsubscribe from this group and stop receiving emails from it, send an email to [email protected]. To view this discussion on the web visit https://groups.google.com/d/msgid/rtc-linux/CAHpqF_Y7Rf2%3DrkptDAJhSdzNMX-ySncfN-_tkAaW%3DtMCjpqK0w%40mail.gmail.com.
