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Claims Analyst

Global Information Technology
Posted on : 04-05-2025

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1 Vacancy
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Job Location drjobs

Southfield, MI - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Posted on : 04-05-2025

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 SmartTrading platform Availity Essentials Informatica and Apigee
  • Familiarity with CBH systems including Connects and Flexicare
  • Excellent problemsolving and analytical skills
  • Ability to mentor and train team members
  • Executive leadership client facing
Interested candidates can send their updated resumes at

Required Experience:

IC

Employment Type

Contract

Company Industry

Key Skills

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Global Information Technology
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