EDI Analyst
Remote, United States
Operations – Shared Services /
Full-time /
Remote
At Zotec Partners, our People make it happen.
Transforming the healthcare industry isn’t easy. But when you build a team like the one we have, that goal can become a reality. Our accomplishments can’t happen without our extraordinary people – those across the country who make up our diverse Zotec family and help make this company a best place to work.
Over 25 years ago, we started Zotec with a clear purpose, to make a difference by improving the way that healthcare works for everyone. Today we are more than 1000 employees strong, and we continue to use our incredible talent and energy to bring that purpose to life.
We're seeking an EDI Analyst to join us.
As an EDI Analyst, you will be responsible for directly supporting the EDI needs of the medical billing/clearinghouse business. This position requires the coordination across internal and external partners, including clients. You will capture and document business and functional requirements, perform analysis and demonstrate effective communication.
What you'll do:
- Monitor business processes to ensure service level agreements are met
- Define business requirements and acceptance criteria/test cases that support EDI Interfaces related to healthcare business platform including but not limited to 837, 834, 820, 835, 999, 275, 277, 270 EDI transactions
- Interact with new and current trading partners to capture and analyze requirements, mapping specifications and project objectives
- Perform business analysis of identified process and software gaps or inefficiencies and develop plans to fill those gaps for internal business processes and for external clients
- Mapping documents to and from various formats including but not limited to ANSI X12, XML, and flat file layouts
- Investigate EDI transactions
- Investigate image issues related to PDF, .tif, and .text files
- Respond with appropriate urgency when process variations are discovered
- Communicate with outside agencies, carriers or facilities as research requires to gather information to resolve issues
- Work with banks and collection agencies to set up file formats to load into our system
- Troubleshoot to ensure different file formats load into Zotec system
- Act as an ambassador for Zotec’s Mission, initiatives and goals
What you'll bring to Zotec:
- Knowledge of HIPAA/EDI X12 v5010 healthcare-related file formats including the 837, 835, 276, 277, 270, 271, 999, and TA1 is required
- Knowledge of commonly used EDI concepts, best practices, and procedures within the health care industry
- Experience working with .NET Technologies such as C#.NET 3.5, ASP.NET 3.5, LINQ and SQL
- Microsoft Visual Studio experience
- Experience using design patterns
- Working knowledge of XML
- Experience in healthcare business processes, claims and enrollment
- Knowledge of industry standard health data code sets such as ICD-10, CPT/HCPCS, and Revenue Codes
- Proficient with Microsoft Office software including Outlook, Word, Excel, and Access
- Strong analytical, problem solving, organizational and priority management skills
- Strong verbal and written communication skills, both technical and non-technical
- Ability to work independently, be self-motivated and have the willingness and ability to lead small initiatives and projects
- Must be able to multi-task, be flexible and embrace change
At Zotec, you will enjoy a network of highly experienced professionals in an environment where you can operate with autonomy yet have the resources and backing of other professionals in a similar role. Entrepreneurial and enterprising is the spirit of our team. If you are an original thinker and opportunity seeker, we'd like to talk to you!
Learn more about our organization, by visiting us at www.zotecpartners.com
E-Verify and Equal Opportunity Employer
