Claims Analyst
Job Description
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 [email protected]
Job Posted by ApplicantProRecommended Jobs
Fleet Mechanic
Job Description Job Description Company: Paw Paw Rentals Location: Paw Paw, Michigan Job Type: Full-Time, Hourly Pay Range: $25–$30 per hour, based on experience Tools: Company t…
Director-Human Resources Operations
JOB SUMMARY Executes strategies that serve to attract, retain and develop diverse premiere talent. Position directs and works with human resource employees on recruitment, total compensation, …
Manager
Job Overview Responsibilities ~Lead and manage daily restaurant operations to ensure efficiency and effectiveness. ~Train, mentor, and develop staff in food handling, customer service, and restaura…
Digital Content Manager
Position Overview The Digital Content Manager is responsible for developing, managing, and optimizing Visit Casper’s content strategy across various channels, including visitcasper.com, multiple s…
Urgent Care Nurse Practitioner NP/FNP
We are seeking an experienced and compassionate FNP/NP to join our growing urgent care team. This is an excellent opportunity for a motivated provider who thrives in a fast-paced clinical environme…
Robotics Instructor
Job Description Job Description Benefits: ~401(k) ~ Employee discounts ~ Free food & snacks About the Opportunity Rise in Power is seeking a Robotics Instructor to introduce studen…
Lead Technician - Vocational Training/Technical Degree
Job Description Job Description HPC-Industrial , powered by Clean Harbors is looking for a Lead Technician to work at our customer location and to join their safety conscious team! This team m…
Construction Field Manager
Construction Field Manager Location: Hemlock, MI 48626 Country: United States Salary: $80000-$125000 Start Date: Description: About Us We are a commercial general contractor hea…
Physical Therapy Assistant - PRN
Full Job Description Hope At Home Health Care, LLC is a rapidly growing company that is looking to add experienced Physical Therapy Assistants to our team who are ready to make a difference in the li…
Front Desk Agent
Job Description Job Description Front Desk Agent "Join the Atira Hotels Family and Build a Legacy of Hospitality!" Job Details Work Location: Fairfield Inn & Suites Stevensville. 4408…