44 Jobs in Long Beach, CA
EDI Specialists, Inc. is Hiring an EDI Manager Near Long Beach, CA
Job Details
- Develop and Support a paperless (electronic) system for conducting business
- Manage inbound data feeds including: all claim file types, MOR, MMR, DXHCC, RAPS, Reconciliation files, eligibility and capitation data
- Manage outbound encounter data submission and process, Alternate Submission Methods (ASM), and supplemental "Clinical data submissions to health plan trading partners or designated clearinghouses.
- Responsible for full reconciliation of encounter data between clients, Health plans and CMS
- Responsible for analysis of Care gap reports and to identify data gaps.
- Support the centralization of information for using OnBase for content management
- Support claims in load processes and procedures
- Lead all Encounter and EDI related projects
- Attend various meeting including: Operations, project specific, JOCs / encounter performance and adhoc.
- Communicate business needs, requirements and enhancement ideas
- Report issues and failures.
- Confirm audit and/or exception reports are run at appropriate frequencies and identified items and exceptions are resolved satisfactorily and within expected timeframes.
- Work with team to enhance operations, comply with new regulations, resolve failures and document policies and procedures
- Bachelor's Degree (four-year college or technical school) Required, Field of Study: Computer Science, Information Systems or equivalent experience
- 3 years of experience in Software Development.
- Thorough knowledge of programming languages including VB, C#, SQL, PowerShell
- 3 years of SQL Server ETL Development experience using SSIS
- 3 years of experience with Microsoft SQL Reporting Services (SSRS)
- Proficient in using Team Foundation Server for source control
- Experience with SQL Server 2012
- Experience with Transactional Systems, specifically X12 Claims, Eligibility and Authorization transactions.
- EZCAP and EZEDI experience preferred.
- Experience with encounter data submission preferred
- Project management skills in the context of software development preferred
- Previous experience in the healthcare or finance industry preferred
Job Summary
Full Time
$108k-144k (estimate)
05/13/2024
07/11/2024
edispecialists.com
Raynham, MA
25 - 50
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The job skills required for EDI Manager include Project Management, etc. Having related job skills and expertise will give you an advantage when applying to be an EDI Manager. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by EDI Manager. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for EDI Manager positions, which can be used as a reference in future career path planning. As an EDI Manager, it can be promoted into senior positions as a Business Application Delivery Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary EDI Manager. You can explore the career advancement for an EDI Manager below and select your interested title to get hiring information.
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