Healthcare EDI Analyst (100% REMOTE/NO C2C)
Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished Healthcare EDI Analyst.
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NOTE- THIS IS 100% REMOTE ROLE & ONLY W2 CANDIDATES/NO C2C/1099
Ā ** Candidate must be authorized to work in USA without requiring sponsorship ***
Position: Healthcare EDI Analyst (Job Id -2703429)
Location: Los Angeles CA 90024(100% REMOTE)
Duration: 5-6 Months + Possible Extension
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Job Description:
Ā EDI Analyst is instrumental in maintaining and running processes/jobs for electronic claims and other EDI transactions which include working with external trading partners, transferring data through secure channels, loading the data to the production environment, and testing files from new providers/trading partners. This is a need for the New Century Health Plan
Ā Experience Needed:
Ā Bachelor s Degree in Business Administration, Information Systems, Health Care or other related field, or a combination of equivalent education, training and experience required
Ā Minimum of five (5) years experience with CMS processes in a Medicare or Managed Care environment managing claims or encounters
Ā Extensive experience with Claims Encounter strategy and processes
Ā Demonstrate strong understanding of how claims payment methodologies, adjudication processing and Federal encounter regulations interrelate to maintain compliant encounter reconciliation processes
Ā Advanced knowledge of SQL, SSIS package, window based computer environment including MS Office and related programs
Ā Knowledge of encounter regulatory reporting and compliance requirements.
____________________________________________________________
Bhupesh Khurana
Lead Technical Recruiter
Email
Company Overview:
Amerit Consulting is an extremely fast-growing staffing and consulting firm. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally, as well as small to mid-sized organizations on a local & regional level. Currently, Amerit has over 2,000 employees in 47 states. We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line. We create value by bringing together the right people to achieve results. Our clients and employees say they choose to work with Amerit because of how we work with them - with service that exceeds their expectations and a personal commitment to their success. Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients businesses forward.
Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Applicants, with criminal histories, are considered in a manner that is consistent with local, state and federal laws
Apply Now
____________________________________
NOTE- THIS IS 100% REMOTE ROLE & ONLY W2 CANDIDATES/NO C2C/1099
Ā ** Candidate must be authorized to work in USA without requiring sponsorship ***
Position: Healthcare EDI Analyst (Job Id -2703429)
Location: Los Angeles CA 90024(100% REMOTE)
Duration: 5-6 Months + Possible Extension
______________________________________________________________________
Job Description:
Ā EDI Analyst is instrumental in maintaining and running processes/jobs for electronic claims and other EDI transactions which include working with external trading partners, transferring data through secure channels, loading the data to the production environment, and testing files from new providers/trading partners. This is a need for the New Century Health Plan
Ā Experience Needed:
Ā Bachelor s Degree in Business Administration, Information Systems, Health Care or other related field, or a combination of equivalent education, training and experience required
Ā Minimum of five (5) years experience with CMS processes in a Medicare or Managed Care environment managing claims or encounters
Ā Extensive experience with Claims Encounter strategy and processes
Ā Demonstrate strong understanding of how claims payment methodologies, adjudication processing and Federal encounter regulations interrelate to maintain compliant encounter reconciliation processes
Ā Advanced knowledge of SQL, SSIS package, window based computer environment including MS Office and related programs
Ā Knowledge of encounter regulatory reporting and compliance requirements.
____________________________________________________________
Bhupesh Khurana
Lead Technical Recruiter
Company Overview:
Amerit Consulting is an extremely fast-growing staffing and consulting firm. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally, as well as small to mid-sized organizations on a local & regional level. Currently, Amerit has over 2,000 employees in 47 states. We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line. We create value by bringing together the right people to achieve results. Our clients and employees say they choose to work with Amerit because of how we work with them - with service that exceeds their expectations and a personal commitment to their success. Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients businesses forward.
Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Applicants, with criminal histories, are considered in a manner that is consistent with local, state and federal laws
Apply Now