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Company: ACROSTAFF Jobs
Contact Name: DAVE

Job Details: Systems Analyst Date: Nov 13 2020

Job Reference: 10622
Job Category: IT Jobs [ View All IT Jobs Jobs ]
Company Type Employer
Employment type: Full Time
Salary: 85 USD / Contract
Degree: Masters
Experience: 3 years
Location: Baltimore, Maryland, 21201
Job Skills: Systems Analyst
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Job Description

Job Description:

Work for the EDI Operations team to provide EDI related services for the Exchange.

A minimum of four (4) years of experience with Health Exchange EDI solutions.

A minimum of four (4) years of experience in creating EDI X12 files for transactions sets such as 834, 999 and TA1.

A minimum of four (4) years of experience in reviewing and understanding technical documents such as companion and implementation guides for Healthcare EDI formats 834 and 999.

A minimum of four (4) years of experience in analyzing/testing Healthcare/Marketplace EDI Applications.

A minimum of two (2) years of experience working with SQL databases/queries.

Perform 8001 Flat File validation and analysis; review multiple MPIs for SSN matching.

Perform HBX System Error analysis.

Validate 1095-A and 1095-B files, reconcile 8001 transactions.

Analyze EDI files sent to and received from Carriers/Managed Care Organizations (MCO) and identify errors and root cause for EDI file rejections.

Coordinate with the development team, business operations team and the testing team to analyze, fix, test and transmit EDI files on a daily basis.

Analyze the EDI 999 files from the Carriers and MCOs and perform root cause analysis for exceptions.

Perform data changes to fix consumer or system reported errors, coordinate with technical and business teams to analyze error reports, access HBX database and application to perform root cause analysis for transaction rejections.

Knowledge of Medicaid coverage types, coverage span and eligibility rules.

In-depth understanding of 834 enrollment transactions including Adds, Terminations, Cancellations and Life events.

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