Business Analyst, Healthcare EDI
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Job Description
Healthcare EDI Business Analyst focusing on 270/271 transactions within a healthcare environment. Collaborating across teams to ensure accurate eligibility verification and compliance.
Responsibilities:
- Analyze ANSI X12 270/271 eligibility and benefits transactions
- Define business and technical requirements for eligibility verification workflows
- Design strategies to present coverage, copay, coinsurance, and deductibles
- Partner with teams to support connectivity and monitoring of 270/271 transactions
Requirements:
- 3–5+ years of experience as an EDI Analyst, Business Analyst, or similar role in healthcare
- Strong experience with 270/271 eligibility and benefits transactions
- Solid understanding of health insurance concepts
- Strong communication skills to translate technical information
- Proficiency with advanced Excel and familiarity with SQL or similar tools
Benefits:
- Health insurance
- 401(k) savings plan
- Competitive pay
- Flexible schedule
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