Business Analyst – Claims & Encounters (Healthcare EDI) (Only USC or GC) jobs in United States
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Ampstek · 23 hours ago

Business Analyst – Claims & Encounters (Healthcare EDI) (Only USC or GC)

Ampstek is seeking a Business Analyst specializing in Healthcare EDI. The role requires extensive experience in claims management and a strong proficiency in SQL, focusing on EDI transactions and the Edifecs platform.

IT Management
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Growth Opportunities
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Responsibilities

BA experience in Encounters, claims management and very strong in SQL is a must
Healthcare EDI Transactions 834, 835, 837 detailed understanding of file loops, segments, key attributes
Understanding of EDIFECS Product platform tools like Spec Builder, defining TP, Application manager, Transaction manager etc
Source to Target STTM translated file against transformation rules, etc
Knowledge on Edifecs encounter management
Hands on experience on defining custom rules and validation

Qualification

SQLHealthcare EDI TransactionsEDIFECS Product platformClaims managementEncounters

Required

Minimum years of experience >10 years
BA experience in Encounters, claims management and very strong in SQL is a must
Understanding of EDIFECS Product platform tools like Spec Builder, defining TP, Application manager, Transaction manager etc
Healthcare EDI Transactions 834, 835, 837 (detailed understanding of file loops, segments, key attributes)
Knowledge on Edifecs encounter management
Hands on experience on defining custom rules and validation

Company

Ampstek

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Ampstek supplies thousands of tech and digital professionals annually to a range of clients through its offices which spread across in 42 countries.

Funding

Current Stage
Late Stage

Leadership Team

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Rekha Pathy
CEO
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