• EDI Systems Analyst I

    Job Locations US-VA-Richmond
    Job ID
    2018-4926
  • About Us

    Don’t just find a job, find your WHY at a purpose-driven organization; discover a career at Virginia Premier.
    By blending quality benefits, affiliating with the world-renowned VCU Health System and offering career-advancing development programs, we allow our employees to focus on the meaningful work of improving and saving the lives of more than 200,000 people throughout the state of Virginia.
     
    At Virginia Premier, we are building an industry leading health care organization through dedicated teams that have heart, provide top-notch quality member services and embrace our mission of inspiring healthy living within the communities we serve. Our vision is to connect people to innovation, quality and affordable health care for all phases of life.
     
    If this sounds like you, read on!

    Overview

    Electronic Data Interchange Specialist – Level I position involves analysis, triage, and solution testing of production issues in EDI systems. The position will coordinate and execute the daily EDI support activities to ensure the delivery of technical services and participate in the fulfillment of customers’ requests.

    Responsibilities

    • Reconcile daily 837 and 277CA to ensure each 837 is responded with a 277CA.
    • Serve as primary resource supporting all the HIPAA X12 Transactions used in the organization; 837 Claims, 835 Remits, 834 Enrollment, 276/277 Claim Status Request and 270/271 Enrollment Inquiry.
    • Adhere to  Policies and Procedures
    • Conduct problem resolution for supported applications.
    • Create SQL queries that join multiple tables / sources and perform data extraction.
    • Create test scenarios, create test data, validate test cases and document test results.
    • Develop and distribute the standard reports
    • Ensure that the proper deadlines and turnaround times are met.
    • Implementation, configuration, testing and post implementation support.
    • Monitor daily EDI runs and logs to make sure all files process correctly.
    • Pro-active monitoring, incident management, and escalation of issues related to the monitored business processes.
    • Must be available to work evenings and weekends during server upgrade and system maintenance.
    • Provide end user support and consistent service to customers
    • Performs other related duties as assigned.

    Qualifications

    MINIMUM EDUCATION REQUIREMENTS

    • Bachelor’s Degree preferred, in Computer Science, Business Administration, Information Systems or related field.

    SPECIAL KNOWLEDGE AND/OR SKILLS

    • Ability to effectively prioritize
    • Customer service
    • Demonstrated experience in developing analysis queries
    • Experience in use of information system resources
    • Familiarity with SQL and relational database concep
    • Highly self-motivated and directed
    • Keen attention to detail
    • Knowledge of SSMS, SSRS, SSIS, SQL Server data tools, SQL server design studio a plus.
    • Must possess the ability to analyze and resolve problems
    • Proficient knowledge of Microsoft Office products
    • Proven ability to work independently while managing multiple tasks and deadlines.
    • Strong written and communication skills
    • Windows Operating Systems: Professional 2000, XP, VISTA, Windows 7 & Server 2003 and 2008

    WORK BACKGROUND/EXPERIENCE

    • Experience with healthcare based claims administration and processing platforms a plus
    • Previous Systems Analyst experience a plus

    PHYSICAL REQUIREMENTS

    • Physical health sufficient to meet the ergonomic standards and demands of the position.

     

    **All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. EOE

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