EDI Coordinator
EDI Coordinator
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Job Description
Overview
Now is the time to join us!
Were Personify Health. Were the first and only personalized health platform company to bring health wellbeing and navigation solutions together. Helping businesses optimize investments in their members while empowering people to meaningfully engage with their health. At Personify Health we believe in offering total rewards flexible opportunities and a diverse inclusive community where every voice matters. Together were shaping a healthier more engaged future.
Responsibilities
Who are you
Were looking for a detailoriented and solutionsdriven Technical Operations Specialist to join our team! In this role youll be at the center of our data operationsmonitoring electronic data flows managing file processing and ensuring the seamless movement of information across systems. Youll work closely with crossfunctional teams to troubleshoot technical issues support EDI file integrity and help translate business requirements into actionable outcomes. If you thrive in a collaborative environment enjoy solving complex problems and have a strong grasp of data workflows and systems wed love to hear from you.
In this role you will wear many hats but your knowledge will be essential in the following:
- Maintain an understanding of the workflows between operational departments
- Collaborate with crossfunctional teams to identify validate and clarify business requirements ensuring a comprehensive understanding of needs and expectations so that changes or new clients are implemented seamlessly
- Communicate status of ongoing tasks on a regular basis to end users and the Manager of Technical Operations
- Analyze the mapping of insurance claims import/export files and eligibility files for troubleshooting any operational inquiry
- Identify technical issues that may arise from improper enrollment or enrollment changes on electronic data interchange (EDI) files and coordinate with engineering partners to resolve issues
- Coordinates ongoing EDI testing implementations and upgrades
- Ensure that business requirements are translated into actionable solutions that align with organizational goals leveraging expertise to bridge the gap between needs and implementable solutions
- Other Duties as assigned the Manager of Technical Operations or Senior Technical Operations Specialist
Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Qualifications
What you bring to the Personify Health team:
In order to represent the best of what we have to offer you come to us with a multitude of positive attributes including:
2 years of experience with system analysis data analysis and/or process improvement
1 years of experience in the Healthcare Industry
An associate or bachelors degree is preferred but not required
You also take pride in offering the following Core Skills Competencies and Characteristics:
- Knowledge of the Healthcare & TPA Industry preferred
- Excellent critical thinking skills
- Strong analytical and problemsolving skills
- Intermediate to Advanced knowledge of Microsoft Office Suite i.e Excel Outlook Word etc
- Experience in using various data analysis tools such as Excel SQL Tableau Power BI or other relevant software
- Demonstrated track record of successfully analyzing data gathering requirements and providing valuable insights and solutions to support business decisionmaking.
- Ability to work collaboratively facilitate discussions and negotiate requirements among various teams
- Knowledge/Experience with ANSI 5010 transactions like/271 preferred
No candidate will meet every single desired qualification. If your experience looks a little different from what weve identified and you think you can bring value to the role wed love to learn more about you!
Personify Health is an equal opportunity organization and is committed to diversity inclusion equity and social justice.
In compliance with all states and cities that require transparency of pay the base compensation for this position ranges from $22 to $28 per hour. Note that compensation may vary based on location skills and experience. This position is eligible for health dental vision mental health and other benefits.
We strive to cultivate a work environment where differences are celebrated and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity Equity Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level) members clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing.
#WeAreHiring #PersonifyHealth
Beware of Hiring Scams:Personify Health will never ask for payment or sensitive personal information such as social security numbers during the hiring process. All official communication will come from a verified company email address. If you receive suspicious requests or communications please report them totalent@personifyhealth.com. All of our legitimate openings can be found on the Personify HealthCareer Site.
Required Experience:
IC
Employment Type
Full-Time
