Urgent Need // Business Analyst with Healthcare EDI // Clearwater, FL

[Mahesh Gurram]

Hello ,
Hope you are doing great!

Please find the below mentioned job description and if you are interested revert back with the updated resume to mah...@axiustek.com

Need Only H1, H4 EAD, L2 EAD, GC, USC
If H1 Need Passport Number

Position: Business Analyst with Healthcare EDI
Location: Clearwater, FL
Duration: Long Term

KEY RESPONSIBILITIES:

• Responsible for the integration/implementation of new client accounts by utilizing an EDI interface which may be a currently supported file format (flat file, 835, etc) or a new file format
• Utilize SQL to analyze data to ensure a defect free integration/implementation process.
• Utilize SQL to update system configuration data across multiple client environments
• Troubleshoot client issues including but not limited to: file structure, data integrity, load failures, and file transmission failures while utilizing tools such as Linq or T-SQL, to research and correct. The issues could occur in the clients UAT or Production environments
• Participate in client calls and provide solutioning to technical issues that may arise. Must be able to communicate solutions in a manner suitable for client consumption
• Responsible for the implementation of any new vendor relationship using Electronic Data Interchange. Supports and Educates operations team regarding technologies used and workflow.
• Data mining analysis to identify root cause behind trends and drivers which could impact daily production, Payments market penetration and revenue streams.
• Document change specifications for development teams then execute user acceptance testing
• Perform steps necessary to transition clients from TEST environment to PRODUCTION environment
• Maintain awareness of and ensure adherence to Payments standards regarding HIPAA and other privacy concerns.
• Provide recommendations to improve processes, data platforms, reporting and analytic methods
• Reviewing and troubleshoot inquiries from providers, clearinghouses and payers as it relates to concerns of not receiving or non-compliant 835’s.
• Proactively troubleshoot 835’s not sent due to non-compliance. Troubleshooting steps include executing reporting/queries or manually reviewing 835 files to identify non-compliant data elements.
• Setting up direct data connections with new clearinghouse partners.

PROFESSIONAL EXPERIENCE:

• Experience working in a SQL DBMS environment required
• Familiar with common types of connectivity solutions (FTP/Secure FTP), VPN)
• Experience with different file formats (fixed length, delimited, XML, X12) required
• Experience reviewing, analyzing and troubleshooting EDI 835 (5010) Files
• Project management experience preferred
• Experience with SSIS for data extraction a plus
• Health insurance claim adjudication knowledge a plus

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Thanks & Regards

Mahesh Gurram

Lead IT Technical Recruiter

Desk No: 703-738-6662 Ext: 2152

Email: mah...@axiustek.com

www.axiustek.com