Claims Analyst

Job Description

Job Title: EDI Claims Analyst

Job Location: Remote

Job Type: Contract

Job Description:

The EDI Claims Analyst is responsible for analyzing and processing electronic data interchange (EDI) transactions, including claims and eligibility inquiries. This role involves reviewing and resolving claim rejections, ensuring accurate data submission, and supporting various EDI transactions. The analyst will work closely with provider relations, IT, and other internal teams to ensure smooth and efficient claims processing.

Requirement:

Strong understanding of EDI transactions and claims processing

Proficiency in SQL and data analysis

Knowledge of Edifecs Smart-Trading platform, Availity Essentials, Informatica, and Apigee

Familiarity with CBH systems, including Connects and Flexicare

Excellent problem-solving and analytical skills

Ability to mentor and train team members

Executive leadership client facing

Interested candidates can send their updated resumes at

Job Posted by ApplicantPro

Full-time

Fully remote