EDI Analyst - Remote - SGA Inc.
Los Angeles, CA 90045
About the Job
Software Guidance & Assistance, Inc., (SGA), is searching for an EDI Analyst for a Contract assignment with one of our premier Healthcare clients in Los Angeles, CA .(100% remote)
Responsibilities :
EDI Analyst is instrumental in maintaining and running processes/jobs for electronic claims and other EDI transactions which include working with external trading partners, transferring data through secure channels, loading the data to the production environment, and testing files from new providers/trading partners. This is a need for the New Century Health Plan
Required Skills:
SGA is a technology and resource solutions provider driven to stand out. We are a women-owned business. Our mission: to solve big IT problems with a more personal, boutique approach. Each year, we match consultants like you to more than 1,000 engagements. When we say let's work better together, we mean it. You'll join a diverse team built on these core values: customer service, employee development, and quality and integrity in everything we do. Be yourself, love what you do and find your passion at work. Please find us at https://sgainc.com/ .
SGA is an Equal Opportunity Employer and does not discriminate on the basis of Race, Color, Sex, Sexual Orientation, Gender Identity, Religion, National Origin, Disability, Veteran Status, Age, Marital Status, Pregnancy, Genetic Information, or Other Legally Protected Status. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, and our services, programs, and activities. Please visit our company EEO page to request an accommodation or assistance regarding our policy.
Responsibilities :
EDI Analyst is instrumental in maintaining and running processes/jobs for electronic claims and other EDI transactions which include working with external trading partners, transferring data through secure channels, loading the data to the production environment, and testing files from new providers/trading partners. This is a need for the New Century Health Plan
Required Skills:
- Bachelor's Degree in Business Administration, Information Systems, Health Care or other related field, or a combination of equivalent education, training and experience required
- Minimum of five (5) years' experience with CMS processes in a Medicare or Managed Care environment managing claims or encounters
- Extensive experience with Claims Encounter strategy and processes
- Demonstrate strong understanding of how claims payment methodologies, adjudication processing and Federal encounter regulations interrelate to maintain compliant encounter reconciliation processes
- Advanced knowledge of SQL, SSIS package, window based computer environment including MS Office and related programs
- Knowledge of encounter regulatory reporting and compliance requirements.
SGA is a technology and resource solutions provider driven to stand out. We are a women-owned business. Our mission: to solve big IT problems with a more personal, boutique approach. Each year, we match consultants like you to more than 1,000 engagements. When we say let's work better together, we mean it. You'll join a diverse team built on these core values: customer service, employee development, and quality and integrity in everything we do. Be yourself, love what you do and find your passion at work. Please find us at https://sgainc.com/ .
SGA is an Equal Opportunity Employer and does not discriminate on the basis of Race, Color, Sex, Sexual Orientation, Gender Identity, Religion, National Origin, Disability, Veteran Status, Age, Marital Status, Pregnancy, Genetic Information, or Other Legally Protected Status. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, and our services, programs, and activities. Please visit our company EEO page to request an accommodation or assistance regarding our policy.
Source : SGA Inc.